World J Pediatr Surg

. 2024 May 8;7(2):e000790.

 doi: 10.1136/wjps-2024-000790. eCollection 2024. https://pubmed.ncbi.nlm.nih.gov/38737963/

Hemodynamic management of congenital diaphragmatic hernia: the role of targeted neonatal echocardiography

Aimann Surak ¹, Linda Mahgoub ¹, Joseph Y Ting ¹

Affiliations expand

• PMID: 38737963
• PMCID: PMC11086387
• DOI: 10.1136/wjps-2024-000790

Abstract

Congenital diaphragmatic hernia (CDH) is a major congenital anomaly, resulting from the herniation of abdominal contents into the thoracic cavity, thereby impeding the proper development of the lungs and pulmonary vasculature. CDH severity correlates with a spectrum of pulmonary hypoplasia, pulmonary hypertension (PHT), and cardiac dysfunction, constituting the pathophysiological triad of this complex condition. The accurate diagnosis and effective management of PHT and cardiac dysfunction is pivotal to optimizing patient outcomes. Targeted neonatal echocardiography is instrumental in delivering real-time data crucial for the bespoke, pathophysiology-targeted hemodynamic management of CDH-associated PHT.

Keywords: Congenital Abnormalities; Diagnostic Imaging; Intensive Care, Neonatal.

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.