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Concomitant diaphragmatic hernia repair with coronary artery bypass grafting surgery


Department of Cardiovascular and Thoracic Surgery, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India

Correspondence Address:
Gokulakrishnan Mohan
Department of Cardiovascular and Thoracic Surgery, Chettinad Academy of Research and Education, Chennai - 603 103, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_42_17

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Year : 2018  |  Volume : 21  |  Issue : 3  |  Page : 304-306

 

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Congenital Bochdalek diaphragmatic hernia (DH) is often diagnosed incidentally in adulthood. It is recommended that all cases of DH be repaired immediately at diagnosis since acute presentation after the complications have already developed has higher morbidity and mortality. A 47-year-old male presented with Grade III angina and dyspnea. A routine chest radiograph revealed bowel shadows in the right thorax, and subsequent computerized tomography (CT) scan confirmed the same. Coronary angiogram revealed coronary artery disease which needed surgery. Off-pump coronary artery bypass grafting followed by DH repair under one-lung ventilation.






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Department of Cardiovascular and Thoracic Surgery, Chettinad Academy of Research and Education, Chennai, Tamil Nadu, India

Correspondence Address:
Gokulakrishnan Mohan
Department of Cardiovascular and Thoracic Surgery, Chettinad Academy of Research and Education, Chennai - 603 103, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_42_17

Rights and Permissions

Congenital Bochdalek diaphragmatic hernia (DH) is often diagnosed incidentally in adulthood. It is recommended that all cases of DH be repaired immediately at diagnosis since acute presentation after the complications have already developed has higher morbidity and mortality. A 47-year-old male presented with Grade III angina and dyspnea. A routine chest radiograph revealed bowel shadows in the right thorax, and subsequent computerized tomography (CT) scan confirmed the same. Coronary angiogram revealed coronary artery disease which needed surgery. Off-pump coronary artery bypass grafting followed by DH repair under one-lung ventilation.






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