Laparoscopic repair of large diaphragmatic hernia after left ventricular assist device implantation followed by orthotopic heart transplantation

Kevin Chin, Marc A. Ward, Dan M. Meyer, Christine E. Sanchez, Steven G. Leeds

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)101-103
Number of pages3
JournalBaylor University Medical Center Proceedings
Volume35
Issue number1
DOIs
StatePublished - 2022
Externally publishedYes

Keywords

  • Diaphragmatic hernia
  • laparoscopic repair
  • left ventricular assist device
  • orthotopic heart transplantation

ASJC Scopus subject areas

  • Medicine(all)

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