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Introduction: Congenital thoracic disorders represent a spectrum of fetal lung bud development abnormalities, which may affect breathing capacity and quality of life. We aim to evaluate the impact of surgery in the treatment of 4 major congenital conditions.

Materials And Methods: We performed a retrospective cohort analysis of patients who underwent surgical treatment in our tertiary center, from 2007 to 2022.

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Congenital mixed hiatal hernia is a disorder that combines features of both sliding and paraoesophageal hernias. The precise incidence of congenital mixed hiatal hernia during the pediatric and neonatal period remains uncertain, making diagnosis challenging within this age cohort. This case presents a 15-day-old female with an 8% postnatal weight loss and apost-feeding vomiting.

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Multidisciplinary follow-up in a patient with Morgagni hernia leads to diagnosis of Marfan syndrome.

Ital J Pediatr

May 2024

Medical Genetic Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Article Synopsis
  • Congenital diaphragmatic hernia (CDH) is a birth defect with different types, including Bochdalek and Morgagni hernias, and can occur in conditions like Marfan syndrome (MFS), which affects connective tissue.
  • A child with recurrent respiratory infections was found to have a Morgagni hernia via chest X-ray, leading to ongoing medical evaluations that confirmed a diagnosis of MFS with a mutation in the FBN1 gene.
  • The case emphasizes the need for continuous multidisciplinary monitoring for children diagnosed with CDH to identify and manage potential complications, such as cardiovascular issues related to MFS.
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Abdominal Compartment Syndrome Following Paraesophageal and Diaphragmatic Hernia Repair.

ACG Case Rep J

May 2024

Division of Thoracic Surgery, Department of Surgery, Dalhousie University, Queen Elizabeth II Hospital Halifax, Nova Scotia, Canada.

Abdominal compartment syndrome (ACS) is defined as a sustained intra-abdominal pressure ≥ 20 mm Hg, associated with new organ dysfunction. Postoperative ACS can occur following repair of hernias with loss-of-domain. Such loss-of-domain hernias are well described involving incisional hernias, less described involving Bochdalek congenital diaphragmatic hernias (CDHs), but not yet described involving paraesophageal hernias (PEHs) or Morgagni CDHs.

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