TY - JOUR
T1 - Death by Late-Presenting Bochdalek Hernia in Infant Soon After Congenital Cardiac Repair
AU - Chau, Destiny
AU - Srour, Habib
AU - Rolf, Cristin
AU - O’connor, William
AU - Cumbermack, Kristopher
AU - Bezold, Lou
AU - Kozik, Deborah
AU - Plunkett, Mark
AU - Murphy, Thomas J.
AU - Hessel, Eugene
PY - 2013/4
Y1 - 2013/4
N2 - Congenital diaphragmatic hernia (CDH) presenting beyond the neonatal period is commonly perceived to be rare. With reported frequencies of 2.6% to 20% of all CDH, it may be an overlooked cause of mortality. Variable symptomatology makes its diagnosis challenging. We report the sudden death of a 3-month-old patient shortly after hospital discharge following congenital heart surgery. Autopsy findings associated the patient’s demise with migrated abdominal contents in the chest through a Bochdalek hernia defect. No indications of CDH existed before hospital discharge. Relevant issues pertaining to congenital heart disease, CDH, and importance of autopsy in this context are discussed.
AB - Congenital diaphragmatic hernia (CDH) presenting beyond the neonatal period is commonly perceived to be rare. With reported frequencies of 2.6% to 20% of all CDH, it may be an overlooked cause of mortality. Variable symptomatology makes its diagnosis challenging. We report the sudden death of a 3-month-old patient shortly after hospital discharge following congenital heart surgery. Autopsy findings associated the patient’s demise with migrated abdominal contents in the chest through a Bochdalek hernia defect. No indications of CDH existed before hospital discharge. Relevant issues pertaining to congenital heart disease, CDH, and importance of autopsy in this context are discussed.
KW - comorbidity
KW - congenital heart surgery
KW - late-presenting Bochdalek hernia
KW - morbidity)
KW - outcomes (includes mortality
KW - pediatric
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U2 - 10.1177/2150135112472348
DO - 10.1177/2150135112472348
M3 - Article
C2 - 23799739
AN - SCOPUS:84913615957
SN - 2150-1351
VL - 4
SP - 213
EP - 216
JO - World Journal for Pediatric and Congenital Heart Surgery
JF - World Journal for Pediatric and Congenital Heart Surgery
IS - 2
ER -