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Transternal repair of a giant Morgagni hernia causing cardiac tamponade in a patient with coexisting severe aortic valve stenosis by Ioannis Nenekidis; Vania Anagnostakou; Charalambos Zisis; Christos Prokakis; Efstratios N Koletsis; Efstratios Apostolakis; Panagiotis Dedeilias is a Medicine article available to read on EtoBox.

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## Background Foramen of Morgagni hernias have traditionally been repaired by laparotomy, lapascopy or even thoracoscopy. However, the trans-sternal approach should be used when these rare hernias coexist with other cardiac surgical diseases. ## Case presentation We present the case of a 74 year-old symptomatic male with severe aortic **valve** stenosis and global respiratory failure due to a giant Morgagni hernia causing additionally cardiac tamponade. The patient underwent simultaneous repair of the hernia defect and aortic valve replacement under cardiopulmonary bypass. The hernia was repaired through the sternotomy approach, without opening of its content and during cardiopulmonary reperfusion. ## Conclusions Morgagni hernia can rarely accompany cardiac surgical pathologies. The trans-sternal approach for its management is as effective as other popular reconstructive procedures, **unless viscera strangulation and necrosis are suspected**. If severe compressive effects to the heart dominate the patient's clinical presentation correction during the cardiopulmonary reperfusion period is mandatory.

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Author

Ioannis Nenekidis; Vania Anagnostakou; Charalambos Zisis; Christos Prokakis; Efstratios N Koletsis; Efstratios Apostolakis; Panagiotis Dedeilias

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: Biomed Central, 2006-; Springer Science and Business Media LLC (ISSN 1749-8090)

Published

2011

Language

EN

Field

Medicine (Health Sciences)