ROBOT-ASSISTED LAPAROSCOPIC REPAIR OF GIANT PERICARDIAL HERNIA IN HEART TRANSPLANT PATIENT
Jerry Xiao*, Katherine D. Gray, Ray Chihara, Edward Y. Chan, Min P. Kim
Houston Methodist Hospital, Houston, TX
Background: Pericardial hernia is a protrusion of abdominal viscera into the pericardial sac.
Case Presentation: 71-year-old male with idiopathic cardiomyopathy who underwent left ventricular assist device (LVAD) placement and subsequent heart transplant presented with nonspecific chest discomfort. On computed tomography, he was found to have a giant pericardial hernia containing transverse colon. He underwent robot-assisted laparoscopic pericardial hernia repair with Goretex mesh.
Conclusions: Pericardial diaphragmatic hernia is a rare complication of LVAD placement. A robot-assisted platform can be used to reduce the abdominal viscera and repair the diaphragmatic defect with mesh.
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