PEDIATRICS Vol. 40 No. 3 September 1967, pp. 329-333
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CONGENITAL DIAPHRAGMATIC HERNIA AND HYPOPLASTIC LEFT HEART

A Case Report and Discussion

Frederick N. Firestone M.D.1, Robert W. Popper M.D.2, Hooshang Taybi M.D.3, and Richard Leonards M.D.4

1 The Department of Surgery, of the Children's Hospital and Adult Medical Center, San Francisco, California
2 The Department of Radiology, of the Children's Hospital and Adult Medical Center, San Francisco, California
3 The Department of Pediatrics of the Children's Hospital and Adult Medical Center, San Francisco, California
4 The Cardiopulmonary Laboratory of the Presbyterian Medical Center, San Francisco, California

An infant with the rare combination of congenital diaphragmatic hernia and hypoplastic left heart has been reported. Although herniated viscera in the chest impair bronchial division and cause hypoplastic lungs, this patient demonstrated lung growth and histologic maturation after successful correction of the diaphragmatic hernia. No subsequent change of the hypoplastic left heart toward normal occurred. There is no apparent causal relationship between these two defects.

Creation of an atrial septal defect has been useful in the treatment of hypoplastic left heart. Further clinical trials are encouraged.

Submitted on November 21, 1966
Accepted on March 21, 1967