Abstract
A 29-year old man underwent mitral valvuloplasty for severe valve insufficiency via right minithoracotomy. Five years after the operation, a chest X-ray incidentally disclosed a subcutaneous air chamber, which was not found 1 year before (Fig. 1). Computed tomography showed right lung herniation via the fourth intercostal space (Fig. 2). Lung herniation is still possible many years after minimally invasive cardiac surgery.
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