Transsternal Repair of Morgagni Hernia in a Patient with Coexistent Ventricular Septal Defect and Down Syndrome

Mert, Murat; Günay, İlhan

doi:10.1080/00015458.2006.11679999

Cited by 12 publications

(10 citation statements)

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“…We found 4 reports of heart surgery combined with Morgagni hernia repair in adults [9][10][11][12] ; however, to our knowledge, ours is the first report to describe concomitant aortic surgery and repair of a trauma-induced IDH in an adult.…”

Section: A B Cmentioning

confidence: 48%

Repair of Intrapericardial Diaphragmatic Hernia during Aortic Surgery in a 78-Year-Old Woman

Spiliotopoulos¹,

Cruz²,

Gkotsis³

et al. 2017

Texas Heart Institute Journal

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Intrapericardial diaphragmatic hernias are reported very rarely. Those of congenital origin are most often diagnosed in neonates, and those caused by indirect blunt trauma occur chiefly in adults. The latter type can be asymptomatic; however, the results of a computed tomographic scan can yield a definitive diagnosis. Once discovered, these hernias should be corrected to avoid severe sequelae such as bowel strangulation and necrosis, peritonitis, mediastinitis, and cardiac tamponade. We report the case of a 78-year-old woman who presented for elective ascending aortic aneurysm repair. Computed tomographic angiograms incidentally revealed a large intrapericardial diaphragmatic hernia, which had probably developed years earlier, after a traffic accident. The patient underwent a median sternotomy and repair of the intrapericardial diaphragmatic hernia with use of a bovine pericardial patch, followed by ascending aortic and hemiarch repair, aortic valve repair, and aorto–right coronary artery bypass grafting. We discuss the details of these procedures and alternative treatment options. To our knowledge, this is the first report of concomitant aortic surgery and repair of a trauma-induced intrapericardial diaphragmatic hernia in an adult.

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Section: A B Cmentioning

confidence: 48%

Repair of Intrapericardial Diaphragmatic Hernia during Aortic Surgery in a 78-Year-Old Woman

Spiliotopoulos¹,

Cruz²,

Gkotsis³

et al. 2017

Texas Heart Institute Journal

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“…Other approaches that have been described in the literature include transsternal approach, which has been advocated in patients with concomitant congenital cardiac anomaly undergoing repair under cardiopulmonary bypass or hernia repair in patients undergoing coronary artery bypass surgery [49]. A transxiphoid approach after thoracoscopic view can be used to dissect adhesions or to repair the defect [46, 50].…”

Section: Resultsmentioning

confidence: 99%

Congenital Diaphragmatic Hernia: Review of Current Concept in Surgical Management

Kesieme

2011

ISRN Surgery

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Congenital diaphragmatic hernias (CDHs) occur mainly in two locations: the foramen of Morgagni and the more common type involving the foramen of Bochdalek. Hiatal hernia and paraesophageal hernia have also been described as other forms of CDH. Pulmonary hypertension and pulmonary hypoplasia have been recognized as the two most important factors in the pathophysiology of congenital diaphragmatic hernia. Advances in surgical management include delayed surgical approach that enables preoperative stabilization, introduction of fetal intervention due to improved prenatal diagnosis, the introduction of minimal invasive surgery, in addition to the standard open repair, and the use of improved prosthetic devices for closure.

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“…In addition, respiratory infection, a well‐known complication of congenital Morgagni hernia, could have been critical if the pulmonary hypertension could not be resolved after the closure of VSD. Therefore, simultaneous repair through sternotomy without laparotomy was selected according to a previous report, and this was completed successfully done without any difficulty.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous repair of Morgagni hernia and ventricular septal defect

Shimada

Hoashi

Tazuke

et al. 2017

Pediatrics International

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Transsternal Repair of Morgagni Hernia in a Patient with Coexistent Ventricular Septal Defect and Down Syndrome

Abstract: As Morgagni hernia can accompany some congenital cardiac anomalies, cardiac surgeons should be familiar with the transsternal approach to the defect which is as effective as other surgical approaches.

Cited by 12 publications

References 0 publications

Repair of Intrapericardial Diaphragmatic Hernia during Aortic Surgery in a 78-Year-Old Woman

Repair of Intrapericardial Diaphragmatic Hernia during Aortic Surgery in a 78-Year-Old Woman

Congenital Diaphragmatic Hernia: Review of Current Concept in Surgical Management

Simultaneous repair of Morgagni hernia and ventricular septal defect

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