Verhofste M A, Tam S K
Cardiac Surgical Unit, Mount Auburn Hospital, Cambridge, Massachusetts, USA.
Ann Thorac Surg. 1995 Aug;60(2):458-9. doi: 10.1016/0003-4975(95)00413-f.
We report a case of a diaphragmatic hernia, with perforated viscus, originating from the diaphragmatic incision that was made to accommodate the right gastroepiploic artery coronary artery bypass graft. Avoidance of an excessively large right gastroepiploic artery pedicle and interrupted sutures placed at the limits of the diaphragmatic incision, perpendicular to the direction of the musculotendinous fibers of the diaphragm, should prevent this potentially lethal complication. Prompt recognition and treatment of this complication when it occurs is lifesaving.
我们报告一例膈疝病例，伴有脏器穿孔，其源于为容纳右胃网膜动脉冠状动脉搭桥移植术而做的膈肌切口。避免右胃网膜动脉蒂过大，并在膈肌切口边缘放置间断缝线，使其垂直于膈肌肌腱纤维方向，应可预防这种潜在的致命并发症。该并发症发生时能得到及时识别和治疗可挽救生命。
