Acquired transdiaphragmatic hernia: an unusual cause of cardiac tamponade

Asian Cardiovasc Thorac Ann. 2017 Mar;25(3):233-236. doi: 10.1177/0218492317698326. Epub 2017 Jan 1.

Abstract

Transdiaphragmatic peritoneopericardial hernia is a rare complication after peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, or subxiphoid epicardial pacemaker insertion. We describe two different clinical presentations of transdiaphragmatic peritoneopericardial hernia in patients who had undergone recent heart transplantation. One was an exceptional case of cardiac tamponade caused by small bowel strangulation through a diaphragmatic defect.

Keywords: Cardiac tamponade; Heart transplantation; Hernia; Intestine; diaphragmatic; small.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology*
  • Fatal Outcome
  • Hernia, Diaphragmatic / complications*
  • Hernia, Diaphragmatic / diagnosis
  • Humans
  • Intestinal Obstruction / complications
  • Intestinal Obstruction / diagnosis
  • Intestine, Small
  • Laparotomy / methods
  • Male
  • Middle Aged
  • Pericardium
  • Radiography, Thoracic