Link: https://www.ncbi.nlm.nih.gov/pubmed/29378436

Asian Cardiovasc Thorac Ann. 2018 Feb;26(2):158-160. doi: 10.1177/0218492318757043. Epub 2018 Jan 29.
Repair of Morgagni hernia and ventricular septal defect through sternotomy.
Alkady H1, Abbas MF1, Zayed M1, Elsayed T1.
Author information
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.

KEYWORDS:
Down syndrome; Morgagni hernia; median sternotomy; ventricular septal defect

PMID: 29378436 DOI: 10.1177/0218492318757043
[Indexed for MEDLINE]