1. Repair of Morgagni hernia and ventricular septal defect through sternotomy
- Author
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Mahmoud Zayed, Talha Elsayed, Mohammad Fawzy Abbas, and Hesham Alkady
- Subjects
Heart Septal Defects, Ventricular ,Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,law.invention ,Diaphragmatic defect ,Right hemithorax ,03 medical and health sciences ,0302 clinical medicine ,law ,medicine ,Cardiopulmonary bypass ,Humans ,Pericardium ,Abnormalities, Multiple ,Hernia ,cardiovascular diseases ,030212 general & internal medicine ,Cardiac Surgical Procedures ,Herniorrhaphy ,Cardiopulmonary Bypass ,business.industry ,Infant ,General Medicine ,medicine.disease ,Sternotomy ,Surgery ,Right pleura ,Treatment Outcome ,surgical procedures, operative ,medicine.anatomical_structure ,Median sternotomy ,cardiovascular system ,Abdomen ,Down Syndrome ,Hernias, Diaphragmatic, Congenital ,Tomography, X-Ray Computed ,Cardiology and Cardiovascular Medicine ,business - Abstract
We report a case of Morgagni hernia occupying the anterior mediastinum and right hemithorax in a male infant with Down syndrome, who also had a perimembranous ventricular septal defect. Through a median sternotomy, the hernia sac was freed from the right pleura, and the pericardium was opened to reduce its contents (colon) into the abdomen. The diaphragmatic defect was closed with Prolene mesh and the hernia sac was used to reinforce the diaphragmatic defect. Finally, the pericardium was opened and the ventricular septal defect was closed with a polytetrafluoroethylene patch through a right atriotomy after instituting cardiopulmonary bypass.
- Published
- 2018