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Authors Nakamura T, Kohmoto T, Kao WG, Osaki S, Block KL, Weigel TL
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Journal Interact Cardiovasc Thorac Surg Volume: 7 Issue: 1 Pages: 141-3
Publish Date 2008 Feb
PubMed ID 18042565

The role of left ventricular assist device (LVAD) in treatment options of congestive heart failure is becoming more important and the widespread application is imminent. There are, however, some serious complications associated with LVAD, which make patient management more challenging. We report a rare surgical case of asymptomatic diaphragmatic hernia, which was diagnosed 8.5 years after heart transplantation and LVAD explantation. A left mini (7 cm), muscle- and nerve-sparing thoracotomy was performed, and we found the splenic flexure of the colon herniated into the left pleural space through a small, circumferential defect of the diaphragm ( approximately 4 cm in diameter) created for the inflow cannula of LVAD. The hernia was reduced and the defect was repaired. Copyright © 2017 The Board of Regents of the University of Wisconsin System