Alkady Hesham, Abbas Mohammad Fawzy, Abouramadan Sobhy, Asklany Ahmed
Cairo University, Cairo, Egypt.
Department of Cardiothoracic Surgery, Cairo University, Cairo, Egypt.
Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):94-96. doi: 10.1007/s12055-018-0723-2. Epub 2018 Aug 28.
Diaphragmatic hernias following cardiac surgeries in general are being reported after coronary artery bypass grafting using the right gastro-epiploic artery as a conduit as well as in patients with ventricular assist devices, orthotopic heart transplants, or subxiphoid epicardial pacemakers. We report a case of an iatrogenic diaphragmatic hernia following pulmonary artery banding operation through median sternotomy which was discovered 4 years later during the debanding and ventricular septal defect closure operation. The diaphragm was most likely injured during insertion of the retro-sternal tube during the first operation.
一般来说，在使用右胃网膜动脉作为管道进行冠状动脉搭桥术以及患有心室辅助装置、原位心脏移植或剑突下心外膜起搏器的患者进行心脏手术后，均有膈肌疝的报道。我们报告了一例经正中胸骨切开术进行肺动脉环扎术后发生的医源性膈肌疝病例，该病例在4年后进行环扎解除和室间隔缺损修补手术时被发现。膈肌很可能在首次手术插入胸骨后引流管时受到损伤。
