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.
Program Number: V035