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 |
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container_title | The Annals of thoracic surgery |
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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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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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2017.01.033</identifier><identifier>PMID: 28163037</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>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</subject><ispartof>The Annals of thoracic surgery, 2017-06, Vol.103 (6), p.e541-e543</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-e09c9eb6b0769b2f2e04d5311d3814211854478789857ad60d945dc9ca02837a3</citedby><cites>FETCH-LOGICAL-c479t-e09c9eb6b0769b2f2e04d5311d3814211854478789857ad60d945dc9ca02837a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28163037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaufman, Andrew J., MD</creatorcontrib><creatorcontrib>Kahn, Eugene T., MD</creatorcontrib><creatorcontrib>Villena-Vargas, Jonathan, MD</creatorcontrib><creatorcontrib>Steele, Justin G., MD</creatorcontrib><creatorcontrib>Flores, Raja M., MD, MS</creatorcontrib><title>Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia after Convergent Maze Procedure</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><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.</description><subject>Aged, 80 and over</subject><subject>Atrial Fibrillation - surgery</subject><subject>Cardiothoracic Surgery</subject><subject>Female</subject><subject>Hernia, Diaphragmatic - diagnosis</subject><subject>Hernia, Diaphragmatic - etiology</subject><subject>Hernia, Diaphragmatic - surgery</subject><subject>Herniorrhaphy</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyAfuWzwRxLbFyTYAq20CMTH2Zp1Jq2XbBzGSaXy6_FqC0icOFkjPzOjeV7GuBSVFLJ9ua9gvkkEIS9UKSFNJWQltH7AVrJp1LpVjXvIVkIIva6dac7Yk5z3pVTl-zE7U1a2WmizYn4LE1DKIU0x8M84QSSeeg4jvxpnggkpBqAuwsAvIkw3BNcHmAt7iTRG4NDPSHyTxlukaxxn_gF-Iv9EKWC3ED5lj3oYMj67f8_Zt3dvv24u19uP7682r7frUBs3r1G44HDX7oRp3U71CkXdNVrKTltZKyltU9fGGutsY6BrRefqpgsugFBWG9Dn7MVp7kTpx4J59oeYAw4DjJiW7KVtixjhrCqoPaGh3J0Jez9RPADdeSn8Ua_f-796_VGvF9IXvaX1-f2WZXfA7k_jb58FeHMCsNx6G5F8DhHH4iIShtl3Kf7Pllf_DAlDHEsMw3e8w7xPC43FpZc-Ky_8l2PMx5Sl0UIYW-tfWC2lqw</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Kaufman, Andrew J., MD</creator><creator>Kahn, Eugene T., MD</creator><creator>Villena-Vargas, Jonathan, MD</creator><creator>Steele, Justin G., MD</creator><creator>Flores, Raja M., MD, MS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia after Convergent Maze Procedure</title><author>Kaufman, Andrew J., MD ; Kahn, Eugene T., MD ; Villena-Vargas, Jonathan, MD ; Steele, Justin G., MD ; Flores, Raja M., MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-e09c9eb6b0769b2f2e04d5311d3814211854478789857ad60d945dc9ca02837a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged, 80 and over</topic><topic>Atrial Fibrillation - surgery</topic><topic>Cardiothoracic Surgery</topic><topic>Female</topic><topic>Hernia, Diaphragmatic - diagnosis</topic><topic>Hernia, Diaphragmatic - etiology</topic><topic>Hernia, Diaphragmatic - surgery</topic><topic>Herniorrhaphy</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaufman, Andrew J., MD</creatorcontrib><creatorcontrib>Kahn, Eugene T., MD</creatorcontrib><creatorcontrib>Villena-Vargas, Jonathan, MD</creatorcontrib><creatorcontrib>Steele, Justin G., MD</creatorcontrib><creatorcontrib>Flores, Raja M., MD, MS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaufman, Andrew J., MD</au><au>Kahn, Eugene T., MD</au><au>Villena-Vargas, Jonathan, MD</au><au>Steele, Justin G., MD</au><au>Flores, Raja M., MD, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia after Convergent Maze Procedure</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>103</volume><issue>6</issue><spage>e541</spage><epage>e543</epage><pages>e541-e543</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28163037</pmid><doi>10.1016/j.athoracsur.2017.01.033</doi><oa>free_for_read</oa></addata></record> |
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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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