title: Acute diaphragmatic rupture following open type IV paraesophageal hernia repair.
abstract: Open primary transthoracic repair is a well established treatment for large paraesophageal hernias. The rate of major post-operative complications has been reported to be low, and no cases of acute diaphragmatic injury have previously been reported. Here we present a case of open primary transthoracic repair of a type IV paraesophageal hernia that was complicated by rupture of the left diaphragm in the immediate post-operative period, and was successfully repaired with Gore DualMesh® (W.L Gore and Assoc. Flagstaff, AZ).
authors.affiliation: Department of Surgery, University of Michigan Medical School, Michigan, USA.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Reames
authors.affiliation: Department of Surgery, University of Michigan Medical School, Michigan, USA.
authors.forename: Rishindra M
authors.initials: RM
authors.lastname: Reddy