Two cases of cardiac dislocation occurred after intrapericardial right pneu
monectomy with extended pericardiectomy and radical nodal dissection in spi
te of proper reconstruction with a pericardial fat flap in one case and wit
h a Gore-tex(R) prosthesis in the other. In the case of major pericardial e
xcision resulting in extensive mobilisation of the SVC a complete reconstru
ction of pericardium and mediastinal pleura is recommended in order to prev
ent cardiac dislocation. (C) 2001 Elsevier Science B.V. All rights reserved
.