Intrapericardial Diaphragmatic Hernia Following the Convergence Procedure for Atrial Fibrillation
Muhammad Almas Baig, Muhammad Haseeb ul Rasool, Arslan Ahmad, Daniel Miller, Hazem Abosheaishaa, Muhammad Burhan Majeed Rana
TL;DR
A rare case of a diaphragmatic hernia occurring after a heart procedure was successfully treated with robotic surgery.
Contribution
Reports a novel complication of the convergence procedure for atrial fibrillation: intrapericardial diaphragmatic hernia.
Findings
A 77-year-old patient developed herniation of the transverse colon into the pericardial cavity.
Symptoms resolved after surgical repair with mesh via robotic surgery.
The defect was identified as a diaphragmatic-pericardial defect.
Abstract
This case report highlights a very rare variant of diaphragmatic hernia, namely, an intrapericardial diaphragmatic hernia, which can arise as a complication of the convergence procedure. A 77-year-old man, presenting with chronic shortness of breath and fatigue, was unexpectedly found to have herniation of the transverse colon into the pericardial cavity through a diaphragmatic-pericardial defect. The diaphragmatic defect was repaired with mesh via robotic surgery. The patient reported resolution of his symptoms at the six-month follow-up.
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Taxonomy
TopicsPericarditis and Cardiac Tamponade · Cardiac Structural Anomalies and Repair · Congenital Diaphragmatic Hernia Studies