Congenital Diaphragmatic Eventration Complicated by Massive Peri-Operative Tension Pneumothorax

Abstract

A term male infant was born at 2800 g and established on CPAP for respiratory distress. Chest radiograph demonstrated a severe right sided eventration of the diaphragm (Figure 1). Ultrasound of the diaphragm was in keeping with the diagnosis. Both the child’s mother and maternal grandmother had also been diagnosed with the same condition. Echocardiogram revealed a small central ASD/PFO but no pulmonary hypertension. Genetics workup is ongoing. As the child was unable to be weaned off CPAP, thoracoscopic plication of the diaphragm was planned for day eight of life.