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Panagiotis N. Symbas
Charles R. Hatcher, Jr.
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Ann Thorac Surg 1977;24:113-119
© 1977 The Society of Thoracic Surgeons

Articles

Diaphragmatic Eventration in Infancy and Childhood

Panagiotis N. Symbas, M.D.*, Charles R. Hatcher, Jr., M.D., William Waldo, M.D.

Joseph B. Whitehead Department of Surgery, Thoracic and Cardiovascular Surgery Division, Emory University School of Medicine, and Grady Memorial Hospital, Atlanta, GA

* Address reprint requests to Dr. Symbas, 69 Butler St, SE, Atlanta, GA 30303

Eventration of the diaphragm, although a relatively rare clinical entity, should be considered in all patients with respiratory distress during the neonatal period, particularly in babies born after difficult delivery by breech presentation or forceps extraction. The diagnosis can be made in the majority of spontaneously breathing patients by chest roentgenography or by fluoroscopy. The treatment initially should be supportive, including assisted ventilation if needed. If the infant cannot be weaned off the respirator after a week to ten days of respiratory support, surgical correction of the elevated diaphragm should be carried out. The results of surgical treatment in these desperately sick infants is usually most gratifying.




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