{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T19:33:01Z","timestamp":1784230381686,"version":"3.55.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T00:00:00Z","timestamp":1605052800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Minimally invasive cardiac surgery (MICS) via right lateral mini thoracotomy is the gold standard treatment approach for mitral and tricuspid valve disorders. Other selected procedures (e.g. transapical aortic valve implantation, MIDCAB) require a left lateral mini thoracotomy for surgical access. Advantages of MICS over complete sternotomy are well known, but access-related complications post MICS, such as pulmonary herniation, are often underestimated\/overlooked. In males, a pulmonary herniation in the proximity of the former thoracotomy is often clinically visible, especially when the intrathoracic pressure rises (e.g. during coughing). In females, clinical symptoms may be hidden by the breast and patients often have unspecific complaints or occasional pain when coughing, making identification of a lung herniation more difficult. Chest computed tomography is the diagnostic tool of choice for pulmonary herniations. Using a series of 20 patients with pulmonary herniation post MICS, we report our findings in diagnosis and treatment of this condition.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa415","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T11:10:39Z","timestamp":1599822639000},"source":"Crossref","is-referenced-by-count":3,"title":["Pulmonary herniation after minimally invasive cardiac surgery: review and implications from a series of 20 cases"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ayse","family":"Cetinkaya","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Zeriouh","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver-Joannis","family":"Liakopoulos","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Hein","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamor","family":"Siemons","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4970-2110","authenticated-orcid":false,"given":"Peter","family":"Bramlage","sequence":"additional","affiliation":[{"name":"Institute for Pharmacology and Preventive Medicine, Cloppenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Sch\u00f6nburg","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeong-Hoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfred","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Kerckhoff-Heart Center, Bad Nauheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,10]]},"reference":[{"key":"2020111223060811000_ref1","first-page":"S673","article-title":"Minimally invasive mitral surgery through right mini-thoracotomy under direct vision","volume":"5","author":"Ward","year":"2013","journal-title":"J Thorac Dis"},{"key":"2020111223060811000_ref2","first-page":"777","article-title":"The opportunities and limitations of minimally invasive cardiac surgery","volume":"114","author":"Doenst","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"2020111223060811000_ref3","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s11748-015-0556-5","article-title":"Two cases of lung herniation treated by surgery or observation","volume":"64","author":"Hara","year":"2016","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2020111223060811000_ref4","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1055\/s-0030-1250670","article-title":"Life-threatening hemothorax resulting from lung hernia after minimally invasive mitral valve surgery","volume":"59","author":"Schroeter","year":"2011","journal-title":"Thorac Cardiovasc Surg"},{"key":"2020111223060811000_ref5","first-page":"203","article-title":"Lung hernia as a sequela to limited-access mitral valve surgery","volume":"29","author":"Gouda","year":"2002","journal-title":"Tex Heart Inst J"},{"key":"2020111223060811000_ref6","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz056","article-title":"Manual repositioning of lung hernia after minimally invasive cardiac surgery","volume":"2019","author":"Koichi","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2020111223060811000_ref7","first-page":"1005","article-title":"Atraumatic lung hernia: a rare complication of minimally invasive surgical atrial fibrillation ablation","volume":"6","author":"Kumar","year":"2013","journal-title":"J Atr Fibrillation"}],"container-title":["Journal of Surgical Case 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