Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia after Convergent Maze Procedure

Abstract The convergent maze procedure (CMP) is a new minimally invasive technique for the surgical treatment of atrial fibrillation (AF). Recently, multiple groups have published excellent results and few adverse events with CMP. However we now report the second case of an intrapericardial diaphrag...

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Veröffentlicht in:The Annals of thoracic surgery 2017-06, Vol.103 (6), p.e541-e543
Hauptverfasser: Kaufman, Andrew J., MD, Kahn, Eugene T., MD, Villena-Vargas, Jonathan, MD, Steele, Justin G., MD, Flores, Raja M., MD, MS
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container_end_page e543
container_issue 6
container_start_page e541
container_title The Annals of thoracic surgery
container_volume 103
creator Kaufman, Andrew J., MD
Kahn, Eugene T., MD
Villena-Vargas, Jonathan, MD
Steele, Justin G., MD
Flores, Raja M., MD, MS
description Abstract The convergent maze procedure (CMP) is a new minimally invasive technique for the surgical treatment of atrial fibrillation (AF). Recently, multiple groups have published excellent results and few adverse events with CMP. However we now report the second case of an intrapericardial diaphragmatic hernia with small-bowel obstruction that resulted from CMP. This complication was managed successfully by laparoscopic repair of the hernia utilizing a PTFE mesh closure with hepatic buttress achieving an excellent result. With the expanding use of CMP for the treatment of AF, awareness of this complication and appropriate management is increasingly important.
doi_str_mv 10.1016/j.athoracsur.2017.01.033
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subjects Aged, 80 and over
Atrial Fibrillation - surgery
Cardiothoracic Surgery
Female
Hernia, Diaphragmatic - diagnosis
Hernia, Diaphragmatic - etiology
Hernia, Diaphragmatic - surgery
Herniorrhaphy
Humans
Laparoscopy
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - surgery
Surgery
Surgical Mesh
title Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia after Convergent Maze Procedure
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