Key result
A left lower lobectomy without pericardial reconstruction was successfully performed in a patient with a congenital pericardium defect, who remained asymptomatic for 20 months postoperatively.
Why the study?
Pericardial defects are rare congenital disorders, posing surgical challenges during pulmonary resection.
Case Report (n=1)
Left lower lobectomy without pericardial reconstruction can be safely performed in patients with a congenital complete left-sided pericardial defect.
Supports VATS lobectomy without reconstruction in select pericardial defect cases; leaves open need for larger confirmatory studies.
Pericardial defects are rare congenital disorders. We report a case of a left lower lobectomy in a patient with lung cancer, a congenital complete left-sided pericardial defect and severe pleural adhesions. The pleural adhesions between the epicardium and lungs were carefully dissected. A left lower lobectomy with mediastinal nodal dissection was performed under complete video-assisted thoracoscopic surgery without pericardial reconstruction. The patient remained asymptomatic for 20 months postoperatively. Careful dissection of severe adhesions is necessary in patients with severe cardiac pulsations.
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Miura et al. (2023) conducted a case report in Lung cancer with congenital complete left-sided pericardial defect and severe pleural adhesions (n=1). Left lower lobectomy without pericardial reconstruction was evaluated on Postoperative symptoms. A left lower lobectomy without pericardial reconstruction was successfully performed in a patient with a congenital pericardium defect, who remained asymptomatic for 20 months postoperatively.
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