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A rare case of herniation of omentum into the pericardial cavity after using the right gastro-epiploic artery for coronary bypass grafting

^a Department of Cardiothoracic Surgery, University Hospital Groningen, Groningen, The Netherlands
^b Department of Cardiothoracic Surgery, Ospedale Cisanello Pisa, Pisa, Italy
^c Department of Radiology, University Hospital Groningen, Groningen, The Netherlands

^* Corresponding author. Tel.: +31-50-3-61-1719; fax: +31-50-3-61-1347
p.w.boonstra{at}thorax.azg.nl

The right gastro-epiploic artery is frequently used as a conduit in coronary artery bypass grafting. A rare complication after this procedure is herniation of omentum or other gastrointestinal contents into the pericardial cavity. Clinical symptoms of this complications are acute abdominal pain, nausea, angina, dyspnea, vomitting or signs of pericardial compression. In this case-report we present one patient with a herniation of omentum into the pericardial cavity without any clinical symptoms of herniation.

Key Words: Gastro-epiploic artery; Diaphragmatic herniation; Coronary artery bypass grafting