The first step in management is orogastric tube placement and securing the airway (intubation). Ideally, the baby will never take a breath, to avoid air going into the intestines and compressing the lungs and heart. The baby will then be immediately placed on a ventilator. Extracorporeal membrane oxygenation (ECMO) has been used as part of the treatment strategy at some hospitals. ECMO acts as a heart-lung bypass. Diaphragm eventration is typically repaired thoracoscopically, by a technique called plication of the diaphragm. Plication basically involves a folding of the eventrated diaphragm which is then sutured in order to “take up the slack” of the excess diaphragm tissue.
Congenital diaphragmatic hernia
Tracheal agenesis
Pulmonary atresia
Pulmonary agenesis
Asphyxiating thoracic dysplasia
Pulmonary artery sling
Pulmonary hypoplasia
First arch syndrome