Faculty Collaboration Database

Unusual late presentation of asymptomatic diaphragmatic hernia following ventricular assist device explantation. Interact Cardiovasc Thorac Surg 2008 Feb;7(1):141-3

Date

11/29/2007

Pubmed ID

18042565

DOI

10.1510/icvts.2007.165944

Scopus ID

2-s2.0-39049096775 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

The role of left ventricular assist device (LVAD) in treatment options of congestive heart failure is becoming more important and the widespread application is imminent. There are, however, some serious complications associated with LVAD, which make patient management more challenging. We report a rare surgical case of asymptomatic diaphragmatic hernia, which was diagnosed 8.5 years after heart transplantation and LVAD explantation. A left mini (7 cm), muscle- and nerve-sparing thoracotomy was performed, and we found the splenic flexure of the colon herniated into the left pleural space through a small, circumferential defect of the diaphragm ( approximately 4 cm in diameter) created for the inflow cannula of LVAD. The hernia was reduced and the defect was repaired.

Author List

Nakamura T, Kohmoto T, Kao WG, Osaki S, Block KL, Weigel TL

Author

Takushi Kohmoto MD, PhD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Diagnosis, Differential
Elective Surgical Procedures
Follow-Up Studies
Heart Failure
Heart Transplantation
Heart-Assist Devices
Hernia, Diaphragmatic
Humans
Male
Middle Aged
Postoperative Complications
Radiography, Thoracic
Thoracotomy