title: Intrapericardial diaphragmatic hernia after coronary artery bypass grafting using the right gastroepiploic artery graft: report of a case.
abstract: Surgeons should be aware of diaphragmatic hernia in obese patients who have undergone coronary artery bypass grafting (CABG) using a gastroepiploic artery graft (GEA), even if the antegastric route is utilized.We report a case of diaphragmatic hernia, which occurred 88 months after initial CABG. A 64-year-old obese man underwent surgical repair of a diaphragmatic hernia. At initial surgery, the diaphragm was incised vertically and re-sutured, leaving a route for GEA graft. Both the stomach and the lateral segment of the liver were dislocated in the pericardial space. The diaphragmatic defect was closed with a polytetrafluoroethylene patch.
authors: Departments of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-1-10 Marunouchi, Kita-ku, Okayama, Japan. hirokit22@gmail.com
authors: Hiroki
authors: H
authors: Takiuchi
authors: Toshinori
authors: T
authors: Totsugawa
authors: Takahiko
authors: T
authors: Tamaki
authors: Masahiko
authors: M
authors: Kuinose
authors: Hidenori
authors: H
authors: Yoshitaka
authors: Yoshimasa
authors: Y
authors: Tsusima
mesh_terms: D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D024405:Gastroepiploic Artery / Q000000981:diagnostic imaging / Q000637:transplantation*; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome