Iatrogenic diaphragmatic hernia after pulmonary artery banding operation through median sternotomy

  • Hesham AlkadyEmail author
  • Mohammad Fawzy Abbas
  • Sobhy Abouramadan
  • Ahmed Asklany
Case Report


Diaphragmatic hernias following cardiac surgeries in general are being reported after coronary artery bypass grafting using the right gastro-epiploic artery as a conduit as well as in patients with ventricular assist devices, orthotopic heart transplants, or subxiphoid epicardial pacemakers. We report a case of an iatrogenic diaphragmatic hernia following pulmonary artery banding operation through median sternotomy which was discovered 4 years later during the debanding and ventricular septal defect closure operation. The diaphragm was most likely injured during insertion of the retro-sternal tube during the first operation.


Iatrogenic diaphragmatic hernia Pulmonary artery banding Median sternotomy 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from the father of the patient included in the study.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Hesham Alkady
    • 1
    • 2
    Email author
  • Mohammad Fawzy Abbas
    • 2
  • Sobhy Abouramadan
    • 2
  • Ahmed Asklany
    • 3
  1. 1.Cairo UniversityCairoEgypt
  2. 2.Department of Cardiothoracic SurgeryCairo UniversityCairoEgypt
  3. 3.Department of Cardiothoracic SurgeryBeni Suef UniversityBeni SuefEgypt

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