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Intrapericardial diaphragmatic hernia after arterial switch operation

Biswa Ranjan Panda1, Sunil Gopalraj Sumangala, Ashish Katewa

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The Annals of Thoracic Surgery
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A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...