[Morgagni hernia causing cardiac tamponade].
Morgagni hernia is a rare malformation (3% of diaphragmatic hernias). This hernia is usually asymptomatic in children. We report on a case revealed by an unusual complication. Severe cyanosis was due to right-to-left atrial shunt through the foramen ovale assessed by 2D echocardiography. Diagnosis of the Morgagni hernia was made with CT scan. The intrathoracic liver compressed the right chambers of the heart causing tamponade. Cardiac compression was reversed after surgery and replacement of the liver in the abdomen. Six months after the surgery, the infant was symptom-free with normal size right chambers of the heart.
S Breinig
Service de cardiologie pédiatrique, centre hospitalier universitaire, hôpital des Enfants, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
Paranon
S
S
Le Mandat
A
A
Galinier
P
P
Dulac
Y
Y
Acar
P
P
D001034:Apgar Score; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D003490:Cyanosis / Q000209:etiology; D004452:Echocardiography; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008099:Liver / Q000002:abnormalities / Q000601:surgery; D011859:Radiography; D016896:Treatment Outcome