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Intrapericardial diaphragmatic hernia after subxiphoid epicardial pacemaker insertion: case reports
The Journal of Thoracic and Cardiovascular Surgery
|October 1, 1984
Summary
This report details two rare cases of intrapericardial diaphragmatic hernia after subxiphoid epicardial pacemaker insertion. Previous gastrectomy and peritoneal entry during surgery were identified as contributing factors.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Device Complications
Background:
- Subxiphoid epicardial pacemaker insertion is a recognized cardiac procedure.
- Diaphragmatic hernias are uncommon complications in cardiac surgery.
Observation:
- Two patients developed intrapericardial diaphragmatic hernias post-pacemaker insertion.
- One patient had a history of gastrectomy, leading to reduced omentum.
Findings:
- The cases highlight a rare complication of subxiphoid epicardial pacemaker placement.
- Factors contributing to hernia formation included previous abdominal surgery and inadvertent peritoneal entry.
Implications:
- Awareness of these risk factors is crucial for preventing this complication.
- Further research may be needed to refine surgical techniques and patient selection.