Diagnosis and management of fetal intrapericardial Morgagni diaphragmatic hernia with massive pericardial effussion

Antiñolo, Guillermo; Agustín, Juan Carlos de; Losada, Antonio; Marenco, Maria; García‐Díaz, Lutgardo; Morcillo, J.C. Ruiz

doi:10.1016/j.jpedsurg.2009.11.009

Cited by 18 publications

(19 citation statements)

References 9 publications

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“…Antenatally, they can present as massive pericardial effusion or pericardial mass [3,[6][7][8][9][10]. Most affected neonates are symptomatic in the immediate postnatal period, with severe respiratory distress and cyanosis secondary to massive pleural effusion or pulmonary hypoplasia [1,2,4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Of the few cases detected antenatally, most were observed for the rest of the gestational period and were operated postnatally [8,12]. In a few cases, fetal pericardiocentesis was performed so as to prevent severe pulmonary hypoplasia secondary to compression of the lung followed by postnatal surgical repair [6,10]. In most reported cases, the defect was repaired by simple primary closure.…”

Section: Discussionmentioning

confidence: 99%

“…It may be congenital or traumatic in origin, with the former being more common in children. There have been only 14 similar cases previously reported since 1981, and the presentation had been in the antenatal period or in infancy [1][2][3][4][5][6][7][8][9][10]. We herein report the 15th case of intrapericardial diaphragmatic hernia in a 5-year-old girl, who underwent successful open repair.…”

mentioning

confidence: 92%

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Intrapericardial diaphragmatic hernia: a rare type of congenital diaphragmatic hernia

Jain

Choudhury

Chadha

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 92%

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Intrapericardial diaphragmatic hernia: a rare type of congenital diaphragmatic hernia

Jain

Choudhury

Chadha

et al. 2011

Journal of Pediatric Surgery

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“…In those pregnancies, if intervention can be accomplished without compromise of the normal twin, EXIT can be considered. EXIT procedure in twin pregnancy has been rarely reported [7–10] and some doubts have been raised about its strategy and safety in twin pregnancies. In this paper we report our experience with the EXIT procedure in a series of three twin pregnancies, to our knowledge the largest series from a single center.…”

Section: Introductionmentioning

confidence: 99%

EXIT procedure in twin pregnancy: a series of three cases from a single center

García‐Díaz

Agustín

Ontanilla

et al. 2014

BMC Pregnancy Childbirth

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BackgroundIndications for the ex utero intrapartum therapy (EXIT) procedure have evolved and nowadays in addition to secure the airway, obtain vascular access, administer surfactant and other resuscitation medications, EXIT is used to resect cervical or thoracic masses, for extracorporeal membrane circulation (ECMO) cannulation, as well as to rescue maximum intra-thoracic space for ventilation of the remaining functional lung tissue or in cases in which resuscitation of the neonate may be compromised. EXIT procedure in twin pregnancy has been rarely reported and some doubts have been raised about its strategy and safety in such cases.MethodsWe reviewed the medical records of 3 twin pregnancy cases where the EXIT procedure have been performed in our center.ResultsThe mean gestational age at EXIT procedure was 34 + 4 weeks. In two out the three EXIT procedures, the affected twin was delivered first. The average time on placental bypass was 9 minutes. There were no fetal or maternal complications related to the EXIT procedure. All newborns are currently doing well.ConclusionIn twin pregnancies, prenatal diagnosis combined with the EXIT procedure permits the formulation of a controlled delivery strategy to secure both newborns outcome. In those pregnancies, if intervention can be accomplished without compromise of the normal twin, EXIT can be considered. Our results support that EXIT procedure, if properly planned, safely provides a good outcome for both the fetuses as well as the mother.

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“…According to Wilson the rare congenital peritoneopericardial diaphragmatic hernia (PPDH) was first described by De Cardinal and Bourderou in 1903 (Wilson et al 1947). This hernia traverses a defect in the central tendon, and it may be contained in a sac (Davies et al 1993).…”

Section: Discussionmentioning

confidence: 99%

Concurrent congenital peritoneopericardial diaphragmatic hernia and bochdalek hernia in a neonate

2014

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Diagnosis and management of fetal intrapericardial Morgagni diaphragmatic hernia with massive pericardial effussion

Cited by 18 publications

References 9 publications

Intrapericardial diaphragmatic hernia: a rare type of congenital diaphragmatic hernia

Intrapericardial diaphragmatic hernia: a rare type of congenital diaphragmatic hernia

EXIT procedure in twin pregnancy: a series of three cases from a single center

Concurrent congenital peritoneopericardial diaphragmatic hernia and bochdalek hernia in a neonate

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