Tamponnade néonatale par hernie de Morgagni

Breinig, Sophie; Paranon, Soizic; Mandat, A. Le; Galinier, P.; Dulac, Yves; Acar, P.

doi:10.1016/j.arcped.2010.07.010

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…The French case report by Breinig et al . described a neonate having intense episodes of cyanosis from the first day of life 13. Echocardiography followed by a CT scan the next day confirmed liver herniation causing a tamponade effect on the right heart13 and right‐to‐left shunt through a PFO 13…”

Section: Discussionmentioning

confidence: 99%

Rare case of Morgagni hernia presenting with cyanotic spells in a neonate

Sher

Gopalakaje

Justo

et al. 2020

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Rare case of Morgagni hernia presenting with cyanotic spells in a neonate

Sher

Gopalakaje

Justo

et al. 2020

J Paediatrics Child Health

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“…Although obstructive symptoms of the herniated viscera represent the most common clinical presentation there have been rare cases of severe compressive symptoms to the heart [2]. We present the case of a 75 year old male admitted to the hospital because of severe respiratory failure with cardiac tamponade due to a giant foramen of Morgagni hernia complicating an existing severe aortic valve stenosis.…”

Section: Introductionmentioning

confidence: 99%

Transternal repair of a giant Morgagni hernia causing cardiac tamponade in a patient with coexisting severe aortic valve stenosis

Nenekidis

Anagnostakou

Zisis

et al. 2011

J Cardiothorac Surg

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BackgroundForamen of Morgagni hernias have traditionally been repaired by laparotomy, lapascopy or even thoracoscopy. However, the trans-sternal approach should be used when these rare hernias coexist with other cardiac surgical diseases.Case presentationWe present the case of a 74 year-old symptomatic male with severe aortic valve stenosis and global respiratory failure due to a giant Morgagni hernia causing additionally cardiac tamponade. The patient underwent simultaneous repair of the hernia defect and aortic valve replacement under cardiopulmonary bypass. The hernia was repaired through the sternotomy approach, without opening of its content and during cardiopulmonary reperfusion.ConclusionsMorgagni hernia can rarely accompany cardiac surgical pathologies. The trans-sternal approach for its management is as effective as other popular reconstructive procedures, unless viscera strangulation and necrosis are suspected. If severe compressive effects to the heart dominate the patient's clinical presentation correction during the cardiopulmonary reperfusion period is mandatory.

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Thoracic Intestinal Sounds in an Infant with Congenital Bilateral Morgagni Hernia

Garofalo

Guanà

Schleef

2016

The Journal of Pediatrics

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A 6-month-old boy was admitted to the emergency department for "persistent abnormal sounds in the chest." The patient was delivered vaginally after a full-term pregnancy, with a birth weight of 3740 g and normal Apgar scores. The mother reported thoracic rumblings and a recurring cough without signs of respiratory infection. The baby was brought to a cardiologist who noticed muffled heart beats, strange bowel sounds in the anterior chest, and experienced the inability to perform an echocardiogram because of an air barrier. On examination the weight was 6235 g, heart rate 120/min, respiratory rate 44/min, and oxygen saturation 98%. Heart sounds were rhythmic but muffled, some end-expiratory wheezing, and rales were detected in the right hemithorax. The chest radiograph showed a massive diaphragmatic hernia located predominantly in the anterior chest (Figure 1). The patient underwent surgical treatment with a laparoscopic approach: there was a wide anterior diaphragmatic defect with the whole small intestine, the colon, and part of the left lobe of the liver herniated in the thorax. The viscera were reduced in the abdomen and the diaphragmatic dome was reconstructed by identification and sculpting of the diaphragmatic margins, well represented on the left and rear edge, but thin in the right portion, and absent in the THE JOURNAL OF PEDIATRICS www.jpeds.com Volume 169

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Tamponnade néonatale par hernie de Morgagni

Cited by 4 publications

References 13 publications

Rare case of Morgagni hernia presenting with cyanotic spells in a neonate

Rare case of Morgagni hernia presenting with cyanotic spells in a neonate

Transternal repair of a giant Morgagni hernia causing cardiac tamponade in a patient with coexisting severe aortic valve stenosis

Thoracic Intestinal Sounds in an Infant with Congenital Bilateral Morgagni Hernia

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