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Abstract

Diaphragmatic hernias are a known complication of explanting a left ventricular assist device. The increasing use of left ventricular assist devices has resulted in an increased risk of this complication. We present the case of a patient who presented with diaphragmatic hernias on routine follow-up after a heart transplant. A left thoracotomy was performed to expose and reduce the hernia using a bovine pericardial patch to repair the defect. This biomaterial represents a viable alternative to traditional GORE-TEX patches with the probability of decreased infectious complications.

Thoracoscopic repair of diaphragmatic hernia following ventricular assist device implantation

“…Diaphragmatic hernia is a potential complication of a VAD due to the need for dissection or penetration of the diaphragm when implanting the device. Although there have been some reports of diaphragmatic hernia following LVAD explantation, most cases have been reported in patients with intracorporeal (intraperitoneal or extraperitoneal) VADs [3,[8][9][10][11].…”

“…In the present case, we were able to complete diaphragmatic hernia repair safely under an excellent thoracoscopic view. While we selected direct closure, most cases of diaphragmatic hernia following explantation of the VAD receive patch repair because the diaphragmatic defect tends to be large [ 4 , 8 – 10 ]. Since it was acquired diaphragmatic hernia, the defect was small enough for direct closure without tension.…”

Hepatoblastoma of the adult with pericardial metastasis: A case report

“…In literature the use of bovine pericardial mesh seem to have good outcome in terms of biocompatibility, high-tensile strength and easy use, so it could be recommended in many cases of diaphragm reconstruction [16] , [17] , [18] .…”

Human pericardial extracellular matrix: An implantation platform for cardiac tissue engineering

“…Clinically, pericardial tissue from both human and xenogeneic origins has widely been used in the context of both cardiac and non-cardiac surgeries. In brief, pericardium grafts have been applied to correct intracardiac and diaphragm defects (Ricci et al, 2014;Yaliniz et al, 2014;Ascaso et al, 2021), as well as ischemic ventricular septal defect after acute MI (Mihalj et al, 2022). On the other hand, non-cardiac pericardium-based applications include replacement of brain dura mater (Sun et al, 2018), bleb repair, conjunctival reconstruction, cover of severe corneal wound or tendon elongation in the eye (Niegowski et al, 2020;Ashena et al, 2021;Hedergott et al, 2021;Chen et al, 2022), odontology (Solakoğlu et al, 2022) and eardrum reconstruction (de Dorldodot et al, 2013;Sainsbury et al, 2022).…”