Cureus

. 2023 Jan 4;15(1):e33338.

 doi: 10.7759/cureus.33338. eCollection 2023 Jan. https://pubmed.ncbi.nlm.nih.gov/36741613/

Perioperative Management of Congenital Diaphragmatic Hernia Repair in a Patient With Univentricular Circulation: A Case Report

Natsuki Suzuki ¹, Hisakatsu Ito ², Shota Sakai ¹, Katsuhisa Hirano ³, Kentaro Tamura ⁴

Affiliations expand

• PMID: 36741613
• PMCID: PMC9896128
• DOI: 10.7759/cureus.33338

Free PMC article

Abstract

The survival rate in congenital diaphragmatic hernia (CDH) with complex heart defects is low. Although the current consensus on the indications for surgical repair of CDH without heart defects has improved surgical outcomes, the surgical indication for CDH with complex heart defects remains unclear. Herein, we report the perioperative management of a patient with univentricular circulation who underwent CDH repair. Thus, patients with CDH complicated by univentricular anatomy may tolerate surgery depending on preserved respiratory function.

Keywords: congenital diaphragmatic hernia; congenital heart disease; perioperative management; pulmonary hypoplasia; univentricular heart.

Copyright © 2023, Suzuki et al.