Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia

We experienced a case of severe congenital diaphragmatic hernia (CDH) with severe deleterious hypoxemia after birth in which we succeeded in saving the patient with radical surgery. Observation of the patient's detailed hemodynamics was possible for the entire perioperative period. The central...

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Main Authors: Noboru Inamura, Tomohiko Tanaka, Akio Kubota, Yuko Tazuke, Akihiro Yoneda, Hisayuki Kawahara, Futoshi Kayatani
Format: Article
Language:English
Published: Elsevier 2016-03-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576615001220
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spelling doaj-d2003c6ca1d3476da72d4bffccf35ef52020-11-24T23:00:33ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-03-016C171910.1016/j.epsc.2015.09.012Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic herniaNoboru Inamura0Tomohiko Tanaka1Akio Kubota2Yuko Tazuke3Akihiro Yoneda4Hisayuki Kawahara5Futoshi Kayatani6Department of Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Surgery, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanDepartment of Pediatric Cardiology, Osaka Medical Center and Research Institute for Maternal and Child Health, JapanWe experienced a case of severe congenital diaphragmatic hernia (CDH) with severe deleterious hypoxemia after birth in which we succeeded in saving the patient with radical surgery. Observation of the patient's detailed hemodynamics was possible for the entire perioperative period. The central venous pressure (CVP) was high according to the pressure in the liver. The CVP subsequently decreased after the operation, and the oxygen saturation increased. Therefore, the cardiac diastolic disorder improved. This case suggests that the diastolic dysfunction in severe CDH patients is worsen by compression from herniated visceral organs.http://www.sciencedirect.com/science/article/pii/S2213576615001220Congenital diaphragmatic herniaEarly operationDiastolic disorderTei index
collection DOAJ
language English
format Article
sources DOAJ
author Noboru Inamura
Tomohiko Tanaka
Akio Kubota
Yuko Tazuke
Akihiro Yoneda
Hisayuki Kawahara
Futoshi Kayatani
spellingShingle Noboru Inamura
Tomohiko Tanaka
Akio Kubota
Yuko Tazuke
Akihiro Yoneda
Hisayuki Kawahara
Futoshi Kayatani
Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
Journal of Pediatric Surgery Case Reports
Congenital diaphragmatic hernia
Early operation
Diastolic disorder
Tei index
author_facet Noboru Inamura
Tomohiko Tanaka
Akio Kubota
Yuko Tazuke
Akihiro Yoneda
Hisayuki Kawahara
Futoshi Kayatani
author_sort Noboru Inamura
title Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
title_short Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
title_full Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
title_fullStr Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
title_full_unstemmed Successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
title_sort successful recording perioperarive hemodynamic changes with the severe right diaphragmatic hernia
publisher Elsevier
series Journal of Pediatric Surgery Case Reports
issn 2213-5766
publishDate 2016-03-01
description We experienced a case of severe congenital diaphragmatic hernia (CDH) with severe deleterious hypoxemia after birth in which we succeeded in saving the patient with radical surgery. Observation of the patient's detailed hemodynamics was possible for the entire perioperative period. The central venous pressure (CVP) was high according to the pressure in the liver. The CVP subsequently decreased after the operation, and the oxygen saturation increased. Therefore, the cardiac diastolic disorder improved. This case suggests that the diastolic dysfunction in severe CDH patients is worsen by compression from herniated visceral organs.
topic Congenital diaphragmatic hernia
Early operation
Diastolic disorder
Tei index
url http://www.sciencedirect.com/science/article/pii/S2213576615001220
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