Anesthetic Management of Laparoscopic Morgagni Hernia Repair in a Patient With Coexisting Down Syndrome, Patent Foramen Ovale and Pectus Carinatus

2015 ◽  
Author(s):  
Betul Kozanhan ◽  
Betul Basaran ◽  
Feride Aygin ◽  
Ibrahim Akkoyun ◽  
Sadik Ozmen
Keyword(s):  
Down Syndrome ◽  
Hernia Repair ◽  
Patent Foramen Ovale ◽  
Anesthetic Management ◽  
Foramen Ovale ◽  
Morgagni Hernia

scholarly journals The usefulness of the transesophageal Doppler in the anesthetic management of Morgagni hernia repair - A case report

2021 ◽  
Vol 25 (2) ◽  
Author(s):  
Nuno Morais De Babo ◽  
Maria Teresa Monteiro ◽  
Ana Bernardino Santos ◽  
Cludia Raquel Carreira
Keyword(s):  
Case Report ◽  
Cardiac Index ◽  
Hernia Repair ◽  
Real Time ◽  
Anesthetic Management ◽  
Esophageal Doppler ◽  
Morgagni Hernia ◽  
Left Hemithorax ◽  
Systolic Volume ◽  
Transesophageal Doppler

Morgagni hernia in adults is a rare condition and is associated with complications such as recurrent chest infections, respiratory failure and cardiac tamponade. Its correction represents an anesthetic challenge. Intraoperative esophageal Doppler provides important information in real time about the patient’s cardiac function and vascular filling, aiding in decision making by the anesthesiologist. We report a case of a 70–year–old woman, ASA Physical Status–III, and presented with chest pain, dyspnea and hypoxemia. Her chest x-ray revealed opacification of 2/3 of the left hemithorax and 1/2 of the right. Computed tomography confirmed a bilateral Morgagni hernia. The patient underwent immediate corrective surgery. Intraoperative cardiovascular function was monitored with esophageal Doppler. Compression and decompression of thoracic structures produces enormous hemodynamic and respiratory impact. After herniated contents removal it showed an increase in systolic volume and cardiac index and a correction of flow time. Transient arterial hypotension was verified, requiring fluid therapy and vasopressor support. Diaphragmatic defect was corrected and general hemodynamic stabilization was achieved. Patient was discharged asymptomatic. The esophageal Doppler was important in this case because it allowed us to measure fundamental hemodynamic variables in real time, such as cardiac index or systolic volume, and to subsequently act accordingly. Key words: Esophageal; Doppler; Morgagni hernia; Anesthesia Citation: Babo NM, Monteiro MT, Santos AB, Carreira CR. The usefulness of the transesophageal Doppler in the anesthetic management of Morgagni hernia repair - A case report. Anaesth pain intensive care 2021;25(2):206-211. DOI: 10.35975/apic.v25i2.1467  Received: 19 November 2020, Reviewed: 22 December 2020, Accepted: 12 January 2021

scholarly journals Anesthetic management of Morgagni hernia repair in an elderly woman

2015 ◽  
Vol 9 (3) ◽  
pp. 413 ◽  
Author(s):  
RajnishK Nama ◽  
BinaP Butala ◽  
VeenaR Shah ◽  
HirenR Patel
Keyword(s):  
Hernia Repair ◽  
Elderly Woman ◽  
Anesthetic Management ◽  
Morgagni Hernia

Percutaneous Treatment of Congenital Defects of the Inter-atrial Septum in Adults – Recent Advances and Persistent Pitfalls

2009 ◽  
Vol 4 (1) ◽  
pp. 76
Author(s):  
James Slater ◽  
Mark Fisch ◽  
◽  
Keyword(s):  
Atrial Septal Defect ◽  
Adult Patient ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Percutaneous Treatment ◽  
Atrial Septum ◽  
Congenital Defects ◽  
Foramen Ovale ◽  
Anatomy And Physiology ◽  
Specific Tissue

William Harvey was the first scientist to describe the heart as consisting of separate right- and left-sided circulations. Our understanding of the heart’s anatomy and physiology has grown significantly since this landmark discovery in 1628. Today, we recognise not only the importance of these separate systems, but also the specific tissue that divides them. Our growing understanding of the inter-atrial septum has allowed us to identify defects within this structure and develop effective percutaneous devices for closure of these defects in the adult patient. This article discusses the formation of a patent foramen ovale (PFO) and atrial septal defect (ASD). In addition, we describe the medical illnesses caused by these defects and summarise the indications and risks related to percutaneous closure of these defects. We also report the most up-to-date transcatheter therapeutic options for closure of these common congenital defects in the adult patient.

Stroke Prophylaxis by Percutaneous Closure of Patent Foramen Ovale and Left Atrial Appendage

2011 ◽  
Vol 6 (1) ◽  
pp. 67
Author(s):  
Antonio L Bartorelli ◽  
Claudio Tondo ◽  
◽  
Keyword(s):  
Left Atrial ◽  
Patent Foramen Ovale ◽  
Stroke Risk ◽  
Left Atrial Appendage ◽  
Cryptogenic Stroke ◽  
Atrial Appendage ◽  
Foramen Ovale ◽  
Percutaneous Procedures ◽  
Cerebrovascular Events

Innovative percutaneous procedures for stroke prevention have emerged in the last two decades. Transcatheter closure of the patent foramen ovale (PFO) is performed in patients who suffered a cryptogenic stroke or a transient ischaemic attach (TIA) in order to prevent recurrence of thromboembolic events. Percutaneous occlusion of the left atrial appendage (LAA) has been introduced to reduce stroke risk in patients with atrial fibrillation (AF). The role of PFO and LAA in the occurrence of cerebrovascular events and the interventional device-based therapies to occlude the PFO and LAA are discussed.

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