Abstract
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.
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Selected References
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- Bettman R. B., Tannenbaum W. J. Herniation of the Heart : Through a Pericardial Incision. Ann Surg. 1948 Nov;128(5):1012–1014. doi: 10.1097/00000658-194811000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ELLIS K., LEEDS N. E., HIMMELSTEIN A. Congenital deficiencies in the parietal pericardium: a review with 2 new cases including successful diagnosis by plain roentgenography. Am J Roentgenol Radium Ther Nucl Med. 1959 Jul;82(1):125–137. [PubMed] [Google Scholar]
- HIGGINSON J. F. Block dissection in pneumonectomy for carcinoma. J Thorac Surg. 1953 Jun;25(6):582–599. [PubMed] [Google Scholar]
- KISSANE R. W. Traumatic heart disease; nonpenetrating injuries. Circulation. 1952 Sep;6(3):421–425. doi: 10.1161/01.cir.6.3.421. [DOI] [PubMed] [Google Scholar]
- SHARMA V. N., BATES M., HURT R. L. Herniation of the heart after intrapericardial pneumonectomy for bronchial carcinoma. Thorax. 1959 Mar;14(1):36–38. doi: 10.1136/thx.14.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sunderland S., Wright-Smith R. J. CONGENITAL PERICARDIAL DEFECTS. Br Heart J. 1944 Oct;6(4):167–175. doi: 10.1136/hrt.6.4.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Takita H., Mifares W. S. Herniation of the heart following intrapericardial pneumonectomy. Report of a case and review. J Thorac Cardiovasc Surg. 1970 Mar;59(3):443–446. [PubMed] [Google Scholar]
- Tubbs O. S., Yacoub M. H. Congenital pericardial defects. Thorax. 1968 Nov;23(6):598–607. doi: 10.1136/thx.23.6.598. [DOI] [PMC free article] [PubMed] [Google Scholar]