A CASE OF TRANSDIAPHRAGMATIC HERNIA AFTER CORONARY ARTERY BYPASS GRAFTING USING A RIGHT GASTROEPIPLOIC ARTERY

• SASAKI Ken-ichi

  Department of Surgery, Muroran City General Hospital

• SHIBUYA Hitoshi

  Department of Surgery, Muroran City General Hospital

• HARADA Keisuke

  Department of Surgery, Muroran City General Hospital

• YAMAMOTO Masaaki

  Department of Surgery, Muroran City General Hospital

• NAKAMURA Yukio

  Department of Surgery, Muroran City General Hospital

• HIRATA Koichi

  First Department of Surgery, Sapporo Medical University, School of Medicine

Bibliographic Information

Other Title

• 右胃大網動脈グラフトを用いたＣＡＢＧ後に発生した横隔膜ヘルニアの１例

Abstract

A 73-year-old man had received coronary artery bypass grafting using a right gastroepiploic artery in another hospital. One year and six months after the operation, he developed ileus due to incarcerated diaphragmatic hernia and an emergency laparotomy was performed. It was a case of pseudohernia with no hernia sac. Because jejunum and transverse colon were herniated to the left thorax in large quantities, the patient had both respiratory failure and circulation insufficiency. When the herniated organs were returned to the abdominal cavity, his respiration and circulation became stable. He underwent partial resection of the necrotic small intestine and transverse colon, and simple closure of the diaphragmatic hernia hilus, which indeed saved his life. It was thought that the site of the diaphragm, which was cut so as to make the GEA graft penetrate the CABG, became caused the hernia hilus. Not only a cardiovascular surgeon but a gastroenterological surgeon should understand that a diaphragmatic hernia may well be a complication of CABG using GEA graft.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (4), 776-779, 2006

  Japan Surgical Association

Keywords

• CABG

Details

• CRID: 1390001204849081600
• NII Article ID: 130003604946
• NII Article ID: 10018015240
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.776
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/4/67_4_776/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006174420
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed