Asian Cardiovascular and Thoracic Annals.
Hanno Huwer, MD, Johannes Winning, MD1, Helmut Isringhaus, MD, Gerhard Kalweit, MD
Department of Cardiothoracic Surgery, Völklingen Heart Centre, Völklingen, Germany
1 Department of Anesthesiology and Critical Care Medicine, University of the Saarland, Homburg, Germany
For reprint information contact: Hanno Huwer, MD Tel: 49 68 9812 2424 Fax: 49 68 9812 2258 Email: firstname.lastname@example.org
, Department of Cardiothoracic Surgery, Völklingen Heart Centre, D-66333 Völklingen/Saar, Germany.
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.