Herniation of the heart

Five cases of herniation of the heart are described, of varying aetiology and presentation. In one, the pericardial deficiency is congenital. Two are traumatic—one with severe disruption of the rib cage, and one without. Two are post-operative—one early, and one late. Their aetiology, diagnosis and...

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Bibliographic Details
Published in:Thorax 1970-11, Vol.25 (6), p.656-664
Main Authors: Wright, M. P., Nelson, C., Johnson, A. M., McMillan, I. K. R.
Format: Article
Language:English
Subjects:
Adult
Child, Preschool
Female
Heart Defects, Congenital - complications
Heart Diseases - diagnostic imaging
Heart Diseases - surgery
Hernia - diagnostic imaging
Hernia - etiology
Herniorrhaphy
Humans
Male
Middle Aged
Mitral Valve - surgery
Pericardium - injuries
Pneumonectomy - adverse effects
Postoperative Complications
Radiography, Thoracic
Rib Fractures - complications
Rupture - complications
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Summary:Five cases of herniation of the heart are described, of varying aetiology and presentation. In one, the pericardial deficiency is congenital. Two are traumatic—one with severe disruption of the rib cage, and one without. Two are post-operative—one early, and one late. Their aetiology, diagnosis and treatment are discussed. If the possibility of herniation is considered, the diagnosis may often be made from a plain chest radiograph. The treatment is operative, and may give relief from a critical circulatory embarrassment.
ISSN:0040-6376
1468-3296
DOI:10.1136/thx.25.6.656