Abstract
BackgroundDiaphragmatic hernia is a rare complication of ventricular assist device (VAD), mainly developing after explantation of the device. We herein report a case of diaphragmatic hernia that developed following the implantation of VAD.Case presentationA 4-month-old girl with a diagnosis of dilated cardiomyopathy underwent VAD implantation for a bridge to heart transplantation. Three months later, intermittent vomiting developed, and left-sided diaphragmatic hernia was confirmed on plain X-ray and computed tomography. Without any findings of ischemia, we performed elective thoracoscopic repair of the diaphragmatic hernia. In the right decubitus position, thoracoscopy revealed the small intestine to be herniated into the left thorax. After reduction of the herniated intestine, the defect of the diaphragm (3 × 2 cm in size) was directly closed with interrupted non-absorbable sutures. Her postoperative course was uneventful.ConclusionThoracoscopic repair of diaphragmatic hernia associated with VAD implantation may be a safe approach.
Highlights
Diaphragmatic hernia is a rare complication of ventricular assist device (VAD), mainly developing after explantation of the device
Thoracoscopic repair of diaphragmatic hernia associated with VAD implantation may be a safe approach
We report a pediatric case of left diaphragmatic hernia following Berlin Heart EXCOR® (BHE) Left ventricular assist devices (LVADs) implantation in which thoracoscopic repair was performed
Summary
Diaphragmatic hernia is a rare complication of ventricular assist device (VAD), mainly developing after explantation of the device. Conclusion: Thoracoscopic repair of diaphragmatic hernia associated with VAD implantation may be a safe approach. VAD implantation requires dissection of the pericardium and diaphragm from the anterior chest wall, and diaphragmatic hernia is known to be a complication of VAD. Diaphragmatic hernia complicated with VAD is usually identified after VAD explantation with or without heart transplantation [3].
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.