Laparoscopic Repair of Diaphragmatic Hernia After Cardiac Transplant and Lvad Explantation

Philip Bao, MD, Kevin Watkins, MD. Stony Brook University Medical Center

Diaphragmatic hernia after cardiac transplantation and left ventricular assist device (LVAD) explantation is reported to occur at a rate of approximately 5-15%. This video describes the case of a 57 year old man approximately one year after transplant and LVAD removal who presented with abdominal pain and weight loss. Diagnostic workup found a diaphragmatic hernia with associated gastric volvulus. He underwent successful laparoscopic repair with a biologic mesh. The stomach was adhered to the hernia sac essentially in direct contact with the moving left ventricle. No perioperative cardiac events occurred and in short-term follow-up he is eating normally and is pain-free.

Session: SS15
Program Number: V035

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