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Giant morgagni hernia causing cardiac tamponade.
Tsutomu Matsushita1, Peng W Seah, Jonathon Gani
1Department of Cardiothoracic Surgery, John Hunter Hospital, Lookout Road, New Lambton, NSW 2305, Australia. atmatsu@tokyonet.com.au
Heart, Lung & Circulation
|March 14, 2007
Summary
A rare giant Morgagni hernia caused severe right ventricular compression in an adult man. Surgical repair using mesh resolved the life-threatening cardiac and respiratory symptoms.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Imaging
Background:
- Morgagni hernia, a congenital diaphragmatic anomaly, can present in adulthood.
- Symptomatic presentation in adults is less common than in pediatric populations.
- Delayed diagnosis can lead to severe complications.
Observation:
- A 57-year-old male presented with dyspnea and chest pain.
- Computed tomography revealed a giant Morgagni hernia compressing the right ventricle.
- The hernia sac contained omentum, small intestine, and transverse colon.
Findings:
- Urgent surgical repair was performed via median sternotomy and laparotomy.
- A polypropylene mesh was used to close the diaphragmatic defect.
- Successful repair relieved the cardiac and respiratory compromise.
Implications:
- Giant Morgagni hernia requires prompt diagnosis and surgical intervention.
- Adult presentation with severe cardiac compression is a rare but critical scenario.
- This case highlights the importance of considering congenital abnormalities in adult cardiorespiratory distress.
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