Anesthesia Management of Morgagni Hernia with Down Syndrome and Pulmonary Hypertension

Ann Med Res. 2012; 19(1): 50-53

Mukadder Şanlı*, Nurçin Gülhaş*, Zekine Begeç*, M. Özcan Ersoy*

Abstract
Pulmonary arterial hypertension (PAH) is increasing of mean arterial pressures of pulmonary vessels more than 25-30 mmHg. Pulmonary hypertension is essential or secandary to congenital heart deffect. Down’s syndrome is the most common congenital anomaly. It is special for the anesthesiologists because of respiratuar, cardiovascular and other sistemic anomalities and may be associated with Morgagni hernia that should be repaired when detected. A 2.5 year-old female pediatric patient with Down’s syndrome (6 kg) and Morgagni hernia accompained secondary PAH was planned to repairing of diaphragmatic deffect. We aimed to investigate anesthetic management of this patient with litarature. Key Words: Pulmonary Arterial Hypertension; Morgagni Hernia; Down’s Syndrome; Anesthesia Management.