Approach to a large rare diaphragmatic hernia in a patient undergoing cardiac surgery

Journal of Surgical Case Reports
John D L BrookesJacob G Goldstein

Abstract

Hernia of Morgagni is an unusual congenital defect of the sternal portion of the diaphragm. Its concurrence with cardiac surgical pathology is rarely described in the literature. Notwithstanding, huge hernia of Morgagni have been noted to cause serious peri-operative impediment and complications. We report the case of a 50-year-old gentleman with a massive Morgagni hernia that threatened strangulation during cardiopulmonary bypass. We describe the combined surgical approach undertaken to repair this hernia, with an accompanying review of the literature relating to misadventure and management of similar large hernia coinciding with cardiac surgery.

References

Sep 21, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mohan P DevbhandariTimothy L Hooper
Mar 19, 2008·Surgical Endoscopy·John D HortonStephen P Hetz
May 4, 2011·Updates in Surgery·Michela GiuricinNicolò de Manzini
Feb 12, 2017·Asian Cardiovascular & Thoracic Annals·Jignesh KothariHimani Pandya
Mar 21, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Masatoshi ShimadaHajime Ichikawa

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Methods Mentioned

BETA
coronary artery bypass
dissection
coronary bypass

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