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Interact CardioVasc Thorac Surg 2008;7:141-143. doi:10.1510/icvts.2007.165944
© 2008 European Association of Cardio-Thoracic Surgery
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Takushi Kohmoto
Tracey L. Weigel
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Negative results - Thoracic general

Unusual late presentation of asymptomatic diaphragmatic hernia following ventricular assist device explantation

Teruya Nakamuraa,*, Takushi Kohmotoa, Walter G. Kaob, Satoru Osakia, Kierstyn L. Blocka and Tracey L. Weigela

a Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA
b Department of Medicine, University of Wisconsin, Madison, Wisconsin, USA

*Corresponding author. Department of Cardiovascular Surgery, Sakurabashi-Watanabe Hospital, 2-4-32 Umeda, Kita-Ward, Osaka 530-0001, Japan, Tel.: +81-6-6341-8651; fax: +81-6-6341-0785.

E-mail address: tnakamura{at}watanabe-hsp.or.jp (T. Nakamura).

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 (~4 cm in diameter) created for the inflow cannula of LVAD. The hernia was reduced and the defect was repaired.

Key Words: Diaphragm; Hernias; Heart failure; Left ventricular assist device; Transplantation-heart


Related Article

Unusual late presentation of diaphragmatic hernia following ventricular assist device explantation
Leo A. Bockeria and Konstantin V. Shatalov
Interactive CardioVascular and Thoracic Surgery 2008 7: 143. [Full Text] [PDF]



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L. A. Bockeria and K. V. Shatalov
Unusual late presentation of diaphragmatic hernia following ventricular assist device explantation.
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 143 - 143.
[Full Text] [PDF]


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