Repair of Morgagni hernia and ventricular septal defect through sternotomy

2018 ◽  
Vol 26 (2) ◽  
pp. 158-160
Author(s):  
Hesham Alkady ◽  
Mohammad Fawzy Abbas ◽  
Mahmoud Zayed ◽  
Talha Elsayed
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Median Sternotomy ◽  
Male Infant ◽  
Anterior Mediastinum ◽  
Diaphragmatic Defect ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Perimembranous Ventricular Septal Defect ◽  
The Right

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.

Postinfarction posterior ventricular septal defect repair: Infarct exclusion technique

2021 ◽  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Median Sternotomy ◽  
Drug Eluting Stent ◽  
Chronic Obstructive ◽  
Inferior Wall ◽  
Obstructive Pulmonary Disease ◽  
Bovine Pericardial Patch ◽  
Infarct Exclusion ◽  
The Right

A 61-year-old man, an active smoker with associated chronic obstructive pulmonary disease on bronchodilator therapy, presented with acute inferior ST-elevation myocardial infarction. The right coronary artery was shown to be the infarct-related artery and was ultimately treated with a drug-eluting stent with an optimal angiographic result. Despite treatment, the patient continued to experience chest pain. Echocardiography showed an extensive posterior mid-ventricular septal defect. Given the scenario of an acute ventricular septal defect with impending hemodynamic repercussions, emergency surgery was pursued. After a median sternotomy and institution of cardiopulmonary bypass with bicaval cannulation, the inferior wall was exposed to assess the necrotic scar. After ventriculotomy, there was an irregular large septal defect with poorly defined margins. In this case, the posterior papillary muscle showed patchy areas of necrosis, requiring a mitral valve replacement. The ventricular septal defect was repaired using an oval-shaped bovine pericardial patch sutured with 3-0 polypropylene sutures, secured with Teflon pledgets, placed transmurally in healthy endocardium. The same patch was incorporated in the ventriculotomy closure.

Successful one stage biventricular correction of aortic atresia with a ventricular septal defect and discordant ventriculo-arterial connections

1997 ◽  
Vol 7 (4) ◽  
pp. 402-409
Author(s):  
Tjark Ebels ◽  
Friedhelm Dapper ◽  
Jurgen Bauer ◽  
Rainer M. Bohle ◽  
Karl J. Hagel ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Left Ventricle ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Male Infant ◽  
Severe Pulmonary Hypertension ◽  
One Stage ◽  
Aortic Atresia ◽  
The Right ◽  
Similar Combination

SummaryAortic atresia is rare in the setting of a normally developed left ventricle with a ventricular septal defect. In this combination, as far as we know, it has been described only with concordant ventriculo-arterial connections, for which seven one-stage biventricular repairs have now been described. We describe here the case of a 3½-month-old male infant with a similar combination but with discordant ventriculo-arterial connections and severe pulmonary hypertension. It was the right ventricle which achieved normal size in this arrangement, presumably because of the ventricular septal defect. One-stage biventricular correction was accomplished, employing a single pulmonary allograft, aided by massive doses of Prostaglandin El. As far as we know this is the first report of the combination of aortic atresia, discordant ventriculo-arterial connections, a ventricular septal defect and balanced ventricles. We complement our surgical account, nonetheless, with a description of a comparable specimen from our anatomic museum.

Complete atrio-ventricular heart block, a not to be forgotten complication in transcatheter closure of perimembranous ventricular septal defect – a case report and review of literature

2021 ◽  
pp. 1-4
Author(s):  
Ming Chern Leong ◽  
Mazeni Alwi
Keyword(s):  
Ventricular Septal Defect ◽  
Heart Block ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Review Of Literature ◽  
Device Closure ◽  
Bundle Branch Block ◽  
Know How ◽  
Perimembranous Ventricular Septal Defect ◽  
New Onset

Abstract Device occlusion of perimembranous ventricular septal defect is gaining popularity with the emergence of newer, softer occluders and improved technical know-how. We report a 26-year-old lady with a moderate size perimembranous ventricular septal defect who had a new onset of bundle branch block shortly after device closure. The patient subsequently developed a complete atrio-ventricular heart block.

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