Laparoscopic repair of large diaphragmatic hernia after left ventricular assist device implantation followed by orthotopic heart transplantation
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 impla...
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| Veröffentlicht in: | Proceedings - Baylor University. Medical Center 2022, Vol.35 (1), p.101-103 |
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| creator | Chin, Kevin Ward, Marc A Meyer, Dan M Sanchez, Christine E Leeds, Steven G |
| description | 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. |
| doi_str_mv | 10.1080/08998280.2021.1984820 |
| format | Article |
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| ispartof | Proceedings - Baylor University. Medical Center, 2022, Vol.35 (1), p.101-103 |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Case Report Case Studies Hernias Laparoscopy Transplants & implants |
| title | Laparoscopic repair of large diaphragmatic hernia after left ventricular assist device implantation followed by orthotopic heart transplantation |
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