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An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader
Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336974/ https://www.ncbi.nlm.nih.gov/pubmed/32275047 http://dx.doi.org/10.4103/aca.ACA_227_18 |
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author | Borthakur, Biplob Hanjoora, Vijay M Mahajan, Viresh Srivastava, Aseem R Jyoti, Aman Raut, Monish Nawal, Anup |
author_facet | Borthakur, Biplob Hanjoora, Vijay M Mahajan, Viresh Srivastava, Aseem R Jyoti, Aman Raut, Monish Nawal, Anup |
author_sort | Borthakur, Biplob |
collection | PubMed |
description | Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis in the setting of post operative respiratory failure. We present here a case of post operative respiratory failure from a delayed presenting diaphragmatic hernia in a 2-month-old boy who underwent corrective surgery for Taussig bing anomaly and hypoplastic aortic arch. Surgical repair of the diaphragmatic defect and reduction of the bowel loops to the abdomen resulted in rapid weaning from ventilation and recovery with subsequent discharge from hospital. |
format | Online Article Text |
id | pubmed-7336974 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-73369742020-07-14 An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader Borthakur, Biplob Hanjoora, Vijay M Mahajan, Viresh Srivastava, Aseem R Jyoti, Aman Raut, Monish Nawal, Anup Ann Card Anaesth Case Report Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis in the setting of post operative respiratory failure. We present here a case of post operative respiratory failure from a delayed presenting diaphragmatic hernia in a 2-month-old boy who underwent corrective surgery for Taussig bing anomaly and hypoplastic aortic arch. Surgical repair of the diaphragmatic defect and reduction of the bowel loops to the abdomen resulted in rapid weaning from ventilation and recovery with subsequent discharge from hospital. Wolters Kluwer - Medknow 2020 2020-04-07 /pmc/articles/PMC7336974/ /pubmed/32275047 http://dx.doi.org/10.4103/aca.ACA_227_18 Text en Copyright: © 2020 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Borthakur, Biplob Hanjoora, Vijay M Mahajan, Viresh Srivastava, Aseem R Jyoti, Aman Raut, Monish Nawal, Anup An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title | An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title_full | An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title_fullStr | An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title_full_unstemmed | An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title_short | An Intriguing Case of Post-Operative Respiratory Failure from an Occult Diaphragmatic Hernia- Be Aware of the Masquerader |
title_sort | intriguing case of post-operative respiratory failure from an occult diaphragmatic hernia- be aware of the masquerader |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336974/ https://www.ncbi.nlm.nih.gov/pubmed/32275047 http://dx.doi.org/10.4103/aca.ACA_227_18 |
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