Right congenital diaphragmatic hernia: report of a successful case treated by thoracoscopy.
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Abstract
Background: Congenital Diaphragmatic Hernia is a rare anatomical defect of the diaphragm that results from the absence or underdevelopment of part or all of the diaphragmatic dome. This leads to the herniation of abdominal organs into the thoracic cavity, causing serious pulmonary and cardiac complications in newborns.
Case Report: We present the case of a 37-week-old newborn with a prenatal history of congenital heart disease, suspected aortic coarctation, and abnormal middle cerebral artery Doppler. Within minutes of birth, the newborn experienced ventilatory failure, necessitating ventilatory support. Additionally, a chest X-ray revealed abdominal viscera in the right hemithorax, raising suspicion of Right Congenital Diaphragmatic Hernia, which was subsequently confirmed by ultrasound. The newborn underwent thoracoscopy to correct the diaphragmatic defect, achieving complete correction of the hernia without complications and an adequate postoperative recovery. Discharge occurred within a few days of hospitalization.
Conclusion: We recommend early diagnosis and delivery in specialized centers with a higher level of care to increase the chances of survival.
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