Intrapericardial diaphragmatic hernia after median sternotomy for cardiothoracic procedures is a rare complication. We describe an interesting case of diaphragmatic hernia in a 6-month-old girl presenting as cardiac tamponade, 4 months after an arterial switch operation. The diaphragmatic defect was iatrogenic and emphasizes the danger of inadvertent diaphragmatic injury during cardiac operations. © 2010 The Society of Thoracic Surgeons.
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B. Ra Panda, Sumangala, S. Ga, Katewa, Aa, Naik, S. Ka, Mishra, Jb, and Kumar, R. Kb, “Intrapericardial diaphragmatic hernia after arterial switch operation”, Annals of Thoracic Surgery, vol. 90, pp. e73-e74, 2010.