Hiatal Hernia Repair during Coronary Artery Bypass Surgery

Koroner Baypas Cerrahisi ile Beraber Hiatus Hernisi Onarımı

Hasan Reyhanoğlu1, Kaan ?zcan1, Hidayet ?atal2, Suna G?zeldoğan2, ?mit İlker Tekin3


1 Tınaztepe Hospital, Clinic of Cardiovascular Surgery, İzmir, Turkey

2 Tınaztepe Hospital, Clinic of General Surgery, İzmir, Turkey

3 Tınaztepe Hospital, Clinic of Cardiology, İzmir, Turkey

Hiatal hernia is defined as the displacement of a portion of the stomach through the diaphragmatic esophageal hiatus to the thorax, resulting in various symptoms. A 61-year-old male patient was admitted with chest pain and occasional progressive shortness of breath. Following a chest CT scan and coronary angiography,? a decision for surgery was made (Figure 1). After a median sternotomy, a hiatal hernia was seen (Figure 2 and 3). The sternotomy incision was extended by the general surgeon, and the defect was repaired with a 15 x 15 cm dual mesh. After hernia repair, coronary bypass surgery (LIMA-LAD, Ao-D1, Ao?RCA bypasses) was performed with cardiopulmonary bypass. The patient was discharged on the fifth postoperative day without any problems. It is important to consider hiatal hernia among extra-cardiac factors in patients presenting with chest pain.


Figure 1

Figure 2

Figure 3

Correspondence

Hasan Reyhanoğlu

E-mail: hreyhanoglu@hotmail.com

Submitted: 12.09.2015 - Accepted: 05.10.2015