Rábago G, Martín-Trenor A, López-Coronado J L
The Department of Cardiovascular Surgery, Clínica Universitaria, Pamplona, Spain.
Tex Heart Inst J. 1999;26(1):96-8.
A 62-year-old man was admitted to the emergency department with chronic dysphagia and lower back pain. Chest radiography revealed a wide mediastinal shadow and an elevated left diaphragm, which proved to be secondary to left phrenic paralysis. The patient was diagnosed with an aneurysm of the descending thoracic aorta and was admitted to the hospital. After the patient was admitted, the aneurysm ruptured into the right chest. The patient underwent an emergency operation to replace the ruptured segment with a synthetic graft. Postoperative recovery and follow-up were uneventful. This report describes an unusual presentation of a thoracic aortic aneurysm. Hemidiaphragmatic paralysis caused by compression of the phrenic nerve is an unusual complication that, to our knowledge, has not been previously reported.
一名62岁男性因慢性吞咽困难和下背部疼痛被收入急诊科。胸部X线检查显示纵隔阴影增宽和左膈抬高，结果证明是继发于左侧膈神经麻痹。该患者被诊断为胸降主动脉瘤并入院。患者入院后，动脉瘤破裂进入右胸。患者接受了紧急手术，用人工血管置换破裂节段。术后恢复和随访情况良好。本报告描述了胸主动脉瘤的一种不寻常表现。膈神经受压导致的半侧膈肌麻痹是一种不寻常的并发症，据我们所知，此前尚未有过报道。
