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Hepatic Compartment Syndrome After a Right-sided Diaphragm Plication
Christopher P Foran1, Yuri Genyk2, Suzanne Palmer3
1Department of Surgery, Keck School of Medicine, The University of Southern California, Los Angeles, California.
The Annals of Thoracic Surgery
|October 14, 2019
Summary
A rare complication of diaphragm plication surgery caused acute liver failure due to hepatic vein obstruction. Reoperation to remove sutures restored liver function, suggesting a novel surgical risk.
Area of Science:
- Cardiovascular Surgery
- Hepatology
- Thoracic Surgery
Background:
- Diaphragm plication is a surgical procedure to treat diaphragmatic paralysis or eventration.
- Hepatic vein outflow obstruction is a serious complication that can lead to liver damage.
Observation:
- A patient developed acute hepatic failure following a unilateral right diaphragm plication.
- The cause was identified as hepatic vein outflow obstruction, a previously unreported complication.
Findings:
- Reoperation was performed to address the obstruction.
- Removal of several plication sutures successfully restored hepatic vein outflow.
- Hepatic function normalized rapidly after the corrective surgery.
Implications:
- This case highlights a potential, previously unrecognized risk associated with diaphragm plication surgery.
- Awareness of this complication is crucial for surgeons performing this procedure.
- Prompt diagnosis and surgical intervention can lead to favorable outcomes.
