Following right-sided pneumonectomy and hemidiaphragm resection in a 58-year-old man with epithelioid mesothelioma, acute respiratory insufficiency and life-threatening circulatory collapse developed after a forced Valsalva maneuver. Major pulmonary embolism was diagnosed on clinical grounds, however computed tomography revealed herniation of the liver into the right hemithorax.
Get full access to this article
View all access options for this article.
References
1.
van RuthSBaasPZoetmulderFA. Surgical treatment of malignant pleural mesothelioma: A review. Chest2003;123:551–61.
2.
PolitiLDe AnnaDNavarraGOcchioniGBoattoRLoiV. Pleuro-pneumo-phreno-pericardiectomy with pericardial and diaphragmatic plasty [Italian]. Minerva Chir2001;56:251–5.
3.
KalweitGHuwerHVolkmerIPetzoldTGamsE. Pulmonary embolism: A frequent cause of acute fatality after lung resection. Eur J Cardiothorac Surg1996;10:242–7.
4.
WoodKE. Major pulmonary embolism: Review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest2002;121:877–905.
5.
ArcasoySMKreitJW. Thrombolytic therapy of pulmonary embolism: A comprehensive review of current evidence. Chest1999;115:1695–707.
6.
Ala-KuljuKVerkkalaKKetonenPHarjolaPT. Traumatic rupture of the right hemidiaphragm. Scand J Thorac Cardiovasc Surg1986;20:109–14.
PeytonJWStewartJRGreenfieldLJCruteSL. Hemodynamics and renal function following experimental suprarenal vena caval occlusion. Surg Gynecol Obstet1982;155:37–42.
