title: Anaesthetic Management of Laparoscopic Morgagni Hernia Repair in a Patient with Coexisting Down Syndrome, Patent Foramen Ovale and Pectus Carinatum.
abstract: Laparoscopic repair has several advantages with a minimally invasive surgical option for children with Morgagni hernias; however, a number of physiological sequelae results from pneumoperitoneum and insufflation. These physiological changes may be more significant in patients with a congenital heart disease. Perioperative detailed evaluation, meticulous monitorization and cooperation with a surgical team are important in cases with patent foramen ovale for the possible risk of the paradoxical gas embolism. We present the anaesthetic management of a patient with patent foramen ovale, Down syndrome and pectus carinatus who successfully underwent laparoscopic Morgagni hernia repair. Under a well-managed anaesthesia that prevented complications because of pneumoperitoneum, laparoscopic surgery would be safe enough for patients with Morgagni hernia having an associated congenital heart disease.
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Betül
authors.initials: B
authors.lastname: Kozanhan
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Betül
authors.initials: B
authors.lastname: Başaran
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Feride
authors.initials: F
authors.lastname: Aygın
authors.affiliation: Clinic of Pediatric Surgery, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Akkoyun
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Konya Training and Research Hospital, Konya, Turkey.
authors.forename: Sadık
authors.initials: S
authors.lastname: Özmen
keywords: Morgagni hernia; laparoscopy; patent foramen ovale