Diagnosis and repair of a Morgagni hernia with video-assisted thoracic surgery.

Foramen of Morgagni hernias have traditionally been repaired by either an abdominal or a transthoracic approach. We describe a case in which a Morgagni hernia that presented as a gradually enlarging right anterior pericardiophrenic mass was both diagnosed and repaired using video-assisted thoracic surgery. The procedure went without incident, and the patient had an uneventful postoperative course. The video-assisted thoracic surgical repair can be a safe and effective way to fix a Morgagni hernia.