Laparoscopic Repair of an Intrapericardial Diaphragmatic Hernia After Convergent Maze Procedure.
The convergent maze procedure (CMP) is a new minimally invasive technique for the surgical treatment of atrial fibrillation (AF). Recently, multiple groups have published excellent results and few adverse events with CMP. However, we now report the second case of an intrapericardial diaphragmatic hernia with small bowel obstruction that resulted from CMP. This adverse event was managed successfully by laparoscopic repair of the hernia and the use of a polytetrafluoroethylene mesh closure with hepatic buttress, achieving an excellent result. With the expanding use of CMP for the treatment of AF, awareness of this adverse event and its appropriate management are increasingly important.
Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: andrew.kaufman@mountsinai.org.
Andrew J
AJ
Kaufman
Mount Sinai Beth Israel, New York, New York.
Eugene T
ET
Kahn
Mount Sinai Beth Israel, New York, New York.
Jonathan
J
Villena-Vargas
Mount Sinai Beth Israel, New York, New York.
Justin G
JG
Steele
Icahn School of Medicine at Mount Sinai, New York, New York.
Raja M
RM
Flores
D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000601:surgery*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013526:Surgical Mesh