医学
开胸手术
心包
胸腔镜检查
解剖(医学)
外科
膈疝
先天性膈疝
疝
怀孕
胎儿
生物
遗传学
作者
Alfonso Fiorelli,Giovanni Natale,Vincenzo Di Filippo,Giorgia Opromolla,Giovanni Vicidomini,Mario Santini
标识
DOI:10.1177/02184923221123877
摘要
Congenital pericardial defect is an uncommon anomaly due to the congenital absence of the pericardium. In this case, it was associated with diaphragmatic hernia and incidentally discovered during thoracoscopic left upper lobectomy for lung cancer. The thoracoscopic dissection of the hilar structures was complicated with arrhythmia and hypotension. Thus, we converted thoracoscopy to thoracotomy, and the lobectomy was successfully performed. The pericardial defect and diaphragmatic hernia were not repaired, but the vessels and bronchial stump were covered to avoid heart injury. Postoperative course was unremarkable and at six-month follow-up patient did not have any problems.
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