Abstract
Diaphragmatic eventration in old age is a rare phenomenon. Typically, it is thought
to originate as a result of failure of development of the muscles of the diaphragm.
Less commonly, it can occur secondary to acquired conditions resulting from spinal
cord or phrenic nerve injury and is only detected incidentally when the patient presents
with dyspnea, chest infection, or cardiac compression symptoms. Herein, we report
a case of right diaphragmatic paralysis in a 58-year-old man with a presentation of
marked elevation of the right hemidiaphragm and ascites causing a picture compatible
with cardiac tamponade.
Résumé
L’éventration diaphragmatique à un âge avancé est un phénomène rare. On pense qu’elle
est habituellement due au sous-développement des muscles du diaphragme. Plus rarement,
elle peut être secondaire à des affections acquises, qui résultent de lésions de la
moelle épinière ou du nerf phrénique, et elle est seulement détectée fortuitement
lorsque le patient manifeste une dyspnée, une infection pulmonaire ou des symptômes
de compression du cœur. Dans le présent article, nous rapportons un cas de paralysie
diaphragmatique droite chez un homme de 58 ans qui montre une élévation marquée de
l’hémidiaphragme droit et une ascite entraînant une image correspondant à la tamponnade
cardiaque.
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References
- Diaphragmatic eventration: long-term follow-up and results of open-chest plication.Eur J Cardiothorac Surg. 2009; 36: 883-887
- Diaphragm plication for eventration or paralysis: a review of the literature.Ann Thorac Surg. 2010; 89: 2146-2150
- Unusual cause of right heart compression.Cardiol J. 2012; 19: 441-442
- Compression of the right atrium due to coexistence of diaphragmatic eventration and Chilaiditi’s syndrome.Thorac Cardiovasc Surg. 2008; 56: 365-367
- A case of right atrial compression by the elevated liver successfully treated by diaphragmatic plication.J Thorac Cardiovasc Surg. 2015; 150: e7-e10
Article info
Publication history
Published online: October 19, 2018
Accepted:
October 4,
2018
Received:
May 28,
2018
Footnotes
See page 1688.e23 for disclosure information.
Identification
Copyright
© 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
