title: Diaphragmatic hernia following coronary artery bypass surgery with the right gastroepiploic artery: case report and literature review.
abstract: We report an unusual case of intrapericardial diaphragmatic hernia 2 years after coronary artery bypass surgery with the right gastroepiploic artery. Herniation through the orifice created for the right gastroepiploic artery caused small bowel strangulation and secondary volvulus requiring extensive small bowel resection due to acute mesenteric ischemia. This case highlights the importance of careful operative management of coronary artery bypass surgery with the right gastroepiploic artery and increases awareness of this rare but potentially fatal complication.
authors.affiliation: Department of Cardiovascular Surgery, Saitama City Hospital, Saitama City, Saitama, Japan. shimasantamerry@tulip.ocn.ne.jp
authors.forename: Yoshiei
authors.initials: Y
authors.lastname: Shimamura
authors.forename: Kazuma
authors.initials: K
authors.lastname: Maisawa
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Okamoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamafuji
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000379:methods; D005260:Female; D024405:Gastroepiploic Artery / Q000637:transplantation*; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D045822:Intestinal Volvulus / Q000209:etiology; D007511:Ischemia / Q000209:etiology; D008297:Male; D065666:Mesenteric Ischemia; D008875:Middle Aged; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000209:etiology