CTICasesCardiac Herniation and Torsion Post-Pneumonectomy
Imaging findings
A pre-operative chest radiograph showed a massive right lung tumor (germ cell tumor). The immediate post-pneumonectomy chest radiograph depicted a dramatic shift and herniation of the heart into the left hemithorax, indicative of cardiac herniation and torsion. CT confirmed the heart was completely displaced outside the pericardium through a surgical defect.
Key takeaways
This rare and dramatic case illustrates complete cardiac herniation and torsion occurring after pneumonectomy with associated pericardial resection, a critical post-operative complication requiring urgent recognition due to potential hemodynamic compromise.
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