J Surg Case Rep

. 2024 Jun 3;2024(6):rjae301.

 doi: 10.1093/jscr/rjae301. eCollection 2024 Jun. https://pubmed.ncbi.nlm.nih.gov/38832060/

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 expand

• PMID: 38832060
• PMCID: PMC11146207
• DOI: 10.1093/jscr/rjae301

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.

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.