AI Article Synopsis
- Congenital pericardial defect is a rare condition marked by the absence of the pericardium, discovered during lung surgery.
- The surgery faced challenges like arrhythmia and low blood pressure, leading to a switch from thoracoscopy to open thoracotomy.
- The patient had a smooth recovery and no complications after six months, despite the pericardial defect and diaphragmatic hernia being left unrepaired.
Article Abstract
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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| http://dx.doi.org/10.1177/02184923221123877 | DOI Listing |
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