Central congenital diaphragmatic hernia with cardiac compression in a neonate

Abstract

Congenital diaphragmatic hernias (CDH) occur when the diaphragm fails to close during normal fetal development. The most common subtypes are Bochdalek and Morgagni hernias. There are a variety of presentations from asymptomatic to severe cardiopulmonary compromise present at birth. Presented is a case of a six-day-old neonate with a postero-central diaphragmatic hernia with herniated liver causing right atrial compression and right-to-left shunting across the patient's patent foramen ovale (PFO). The hernia was repaired with a laparoscopic patch technique.

Keywords

• Congenital diaphragmatic hernia
• Cardiac compression
• Neonate
• Laparoscopy