Abstract
In patients with advanced heart failure and deteriorating clinical status, a left ventricular assist device (LVAD) can be used as a bridge to transplantation or as an alternative to transplantation. An uncommon complication of orthotopic heart transplant or LVADs is diaphragmatic hernia during implantation or explantation of the device. We describe a patient with a diaphragmatic hernia with incarcerated colon and small bowel treated previously with a HeartMate 3 LVAD and subsequent transplantation. This case highlights the need to consider the diagnosis of diaphragmatic hernia based on symptoms after HeartMate 3 implantation and/or subsequent transplantation, as well as the ability to manage these hernias with a minimally invasive laparoscopic approach to minimize postoperative morbidity and mortality.
Original language | English (US) |
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Pages (from-to) | 101-103 |
Number of pages | 3 |
Journal | Baylor University Medical Center Proceedings |
Volume | 35 |
Issue number | 1 |
DOIs | |
State | Published - 2022 |
Externally published | Yes |
Keywords
- Diaphragmatic hernia
- laparoscopic repair
- left ventricular assist device
- orthotopic heart transplantation
ASJC Scopus subject areas
- General Medicine