title: Bovine pericardial reconstruction of the diaphragm after a heart transplant.
abstract: Diaphragmatic hernias are a known complication of explanting a left ventricular assist device. The increasing use of left ventricular assist devices has resulted in an increased risk of this complication. We present the case of a patient who presented with diaphragmatic hernias on routine follow-up after a heart transplant. A left thoracotomy was performed to expose and reduce the hernia using a bovine pericardial patch to repair the defect. This biomaterial represents a viable alternative to traditional GORE-TEX patches with the probability of decreased infectious complications.
authors.affiliation: From the Division of Cardiac Surgery, Wexner Medical Center, The Ohio State University, Columbus, OH 43201, USA.
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Ricci
authors.forename: Robert
authors.initials: R
authors.lastname: Higgins
authors.forename: Vincent C
authors.initials: VC
authors.lastname: Daniels
authors.forename: Ahmet
authors.initials: A
authors.lastname: Kilic
mesh_terms: D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016027:Heart Transplantation; D006353:Heart-Assist Devices / Q000009:adverse effects*; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D064593:Heterografts; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016277:Ventricular Function, Left; D014850:Waiting Lists