Lung herniation: a rare complication in minimally invasive cardiothoracic surgery☆

Athanassiadi, Kalliopi; Bagaev, Erik; Simon, Andrè; Haverich, Axel

doi:10.1016/j.ejcts.2008.01.027

Cited by 55 publications

(39 citation statements)

References 20 publications

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“…Spontaneous lung hernias can be triggered by chronic coughing, COPD, forceful Valsalva, chronic steroid use, or heavy lifting. 3 Pathological events leading to lung herniation may be inflammatory or neoplastic in nature. 5 Lung hernias are also classified by location.…”

Section: Discussionmentioning

confidence: 99%

“…1 This increase in risk is possibly due to the nature of incision closure, which is often less precise in VATS. 2,3 To our knowledge, there have been no reported cases of acquired lung herniation at sites distant from VATS incisions when thoracoscopic damage is suspected. Intercostal nerve injury is a likely etiology of remote herniation and has previously been implicated in post-thoracotomy pain syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Acquired Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion

Fazi¹,

Davis²,

Kurian³

et al. 2016

WVMJ

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We report a case of acquired anterior thoracic lung herniation in a 63-year-old female. This painful herniation developed four years after uncomplicated videoassisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay PROCEED mesh and reinforced with a pedicled latissimus dorsi flap. Five months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acquired Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion

Fazi¹,

Davis²,

Kurian³

et al. 2016

WVMJ

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show abstract

“…Nevertheless, most authors recommend repairing them with mesh, 18 which is believed to be superior for thoracic wall reconstruction. Nevertheless, most authors recommend repairing them with mesh, 18 which is believed to be superior for thoracic wall reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Intrathoracic Migration of a Breast Implant After Minimally Invasive Cardiac Surgery

McClure¹,

Aru²,

Songcharoen³

2015

Annals of Plastic Surgery

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The aging population, in combination with the popularity of breast augmentation with implants, presents surgeons with a growing number of cases involving women undergoing minimally invasive cardiac surgery (MICS) who have breast implants. We present an unusual complication involving the delayed migration of a subpectoral implant into the chest cavity through an iatrogenic defect after a minimally invasive mitral valve repair. This chest wall defect was ultimately repaired with a latissimus dorsi flap. Although MICS has been described in women with breast implants, the documented experience remains limited. Most authors classically recommend explantation of the prosthesis to provide access to the chest wall; however, some have later suggested preserving the implant capsule in situ while performing the cardiac procedure with gentle retraction. From our literature review and experience, we recommend that the posterior capsule should remain intact. If this is not possible, then the chest wall closure should be reinforced with either mesh, soft tissue, or both. Soft tissue options include the conversion from a subpectoral to a subglandular position to use the pectoralis major, or a latissimus dorsi muscle flap. With the increasing number of these cases along with the complexities of minimally invasive procedures, close communication and planning should be undertaken between both cardiothoracic and plastic surgeons when taking care of these patients. Above all, when faced with postoperative complications after MICS, the plastic surgeon must maintain a high index of clinical suspicion and consider the possibility of intrathoracic migration of an implant so that proper workup and planning may be initiated.

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“…Todos éstos, aspectos cruciales en la planeación quirúrgica. 7,8 El tratamiento de la hernia pulmonar es todavía controversial. 9,10 Ambos manejos conservador o quirúrgico han sido recomendados.…”

Section: Discussionunclassified

Hernia Pulmonar Secundaria a la Colocación de Tubo de Tórax en Paciente con Hemotórax Traumático

Sasson¹,

Andrade-Alegre²

2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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RESUMENLa mayoría de las hernias pulmonares son congénitas, traumáticas o post-quirúrgicas. Hay muy pocos casos reportados secundarios a la colocación de tubo de tórax. Presentamos el caso de una hernia pulmonar luego del retiro del tubo de tórax en un paciente con hemotórax secundario a trauma penetrante. Palabras clave: Tubo de tórax, Hernia pulmonar, Trauma. How to cite this article: Sasson M, Andrade-Alegre R. Hernia Pulmonar Secundaria a la Colocación de Tubo de Tórax en Paciente con Hemotórax Traumático. Panam J Trauma Crit Care Emerg Surg 2014;3(2):82-84. ABSTRACTMost cases of lung herniation are either congenital, secondary to trauma or surgery. Very few cases have been reported secondary to the insertion of chest tubes. We present a case of lung hernia after the removal of a chest tube that was inserted to treat an hemothorax secondary to penetrating trauma.

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Lung herniation: a rare complication in minimally invasive cardiothoracic surgery☆

Cited by 55 publications

References 20 publications

Acquired Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion

Acquired Anterior Thoracic Lung Herniation and Repair: A Rare Case and Discussion

Intrathoracic Migration of a Breast Implant After Minimally Invasive Cardiac Surgery

Hernia Pulmonar Secundaria a la Colocación de Tubo de Tórax en Paciente con Hemotórax Traumático

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