D'Orio Virginie, Demondion Pierre, Lebreton Guillaume, Coutance Guillaume, Varnous Sheida, Leprince Pascal
Department of Thoracic and Cardiovascular Surgery, La Pitié Salpêtrière Hospital, Pierre et Marie Curie University, Paris, France.
Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):233-236. doi: 10.1177/0218492317698326. Epub 2017 Jan 1.
Transdiaphragmatic peritoneopericardial hernia is a rare complication after peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, or subxiphoid epicardial pacemaker insertion. We describe two different clinical presentations of transdiaphragmatic peritoneopericardial hernia in patients who had undergone recent heart transplantation. One was an exceptional case of cardiac tamponade caused by small bowel strangulation through a diaphragmatic defect.
经膈腹膜心包疝是腹膜心包开窗术、使用胃网膜动脉进行冠状动脉旁路移植术或剑突下心外膜起搏器植入术后的一种罕见并发症。我们描述了近期接受心脏移植的患者中经膈腹膜心包疝的两种不同临床表现。其中一例是因小肠通过膈肌缺损发生绞窄导致心脏压塞的特殊病例。