Iatrogenic diaphragmatic hernia after pulmonary artery banding operation through median sternotomy
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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.
KeywordsIatrogenic diaphragmatic hernia Pulmonary artery banding Median sternotomy
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Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from the father of the patient included in the study.
- 4.Groth SS, Whitson BA, D’Cunha J, Andrade RS, Maddaus MA. Diaphragmatic hernias after sequential left ventricular assist device explantation and orthotopic heart transplant: early results of laparoscopic repair with polytetrafluoroethylene. J Thorac Cardiovasc Surg. 2008;135:38–43.CrossRefGoogle Scholar
- 5.Swartz D, Livingston C, Tio F, Mack J, Trinkle JK, Grover KL. Intrapericardial diaphragmatic hernia after subxiphoid epicardial pacemaker insertion: case reports. J Thorac Cardiovasc Surg. 1984;88:633–5.Google Scholar