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Case Reports
. 2024 Jun 3;2024(6):rjae301.
doi: 10.1093/jscr/rjae301. eCollection 2024 Jun.

Simultaneous repair of diaphragmatic hernia and ventricular septal defect with postoperative complication in a Down syndrome child

Marshad A Almutairi  1 , Abdulsamad F Sultan  1 , Abdulaziz A Alariefy  1 , Nada A Alzahrani  1 , Abdullah H Baghaffar  1   2 , Osman O Al-Radi  1   2
Affiliations
Case Reports

Simultaneous repair of diaphragmatic hernia and ventricular septal defect with postoperative complication in a Down syndrome child

Marshad A Almutairi et al. J Surg Case Rep. .

Abstract

Morgagni hernia (MH) is a rare form of congenital diaphragmatic hernia, typically occurring predominantly on the right side and exhibiting a higher prevalence in females. Usually diagnosed incidentally, MH may coexist with congenital heart defects, chest wall abnormalities and certain genetic syndromes such as Down syndrome. A 4-year-old boy with Down syndrome underwent simultaneous repair of MH and closure of a ventricular septal defect (VSD). A vertical midline sternotomy was performed, and the VSD was repaired using the right atrium approach. Subsequently, MH repair was conducted. Three weeks after the surgery, this patient developed a complete heart block, which lead to the implantation of a VVI pacemaker.

Keywords: Down syndrome; Morgagni hernia; VSD; congenital; ventricular septal defect.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
This is a preoperative chest X-ray with an AP view revealing subtle lucent mediastinal structures in the lower mid-chest.
Figure 2
Figure 2
These CT chest scans in the coronal (A) and sagittal (B) planes, showing an anterior central diaphragmatic defect measuring 4.3 cm × 2.8 cm (TR × AP) with intrathoracic herniation of part of the transverse colon.
Figure 3
Figure 3
This is a postoperative AP view of chest X-ray showing the disappearance of the abnormal mediastinal lucency representing loops of bowel.
See this image and copyright information in PMC

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