膈肌膨出和Chilaiditi综合征并存导致右心房受压。

Compression of the right atrium due to coexistence of diaphragmatic eventration and Chilaiditi's syndrome.

作者信息

Hountis P, Ikonomidis P, Stamatelopoulos A, Douzinas M

机构信息

Athens Naval Hospital, Athens, Greece.

出版信息

Thorac Cardiovasc Surg. 2008 Sep;56(6):365-7. doi: 10.1055/s-2007-965709.

DOI:10.1055/s-2007-965709

PMID:18704861

Abstract

We report on a 70-year-old male who was admitted to hospital due to progressive onset of dyspnea and fever. Diagnostic work-up revealed a high diaphragmatic position, compression of the right heart and supraventricular tachycardia. A simultaneous incidental finding was hepatodiaphragmatic colonic interposition (Chilaiditi's syndrome). Diaphragmatic plication through a right thoracotomy with bowel reduction was effective to treat the patient.This is the second reported case in the literature of a simultaneous occurrence of diaphragmatic eventration and Chilaiditi's syndrome.

摘要

我们报告了一名70岁男性，因进行性呼吸困难和发热入院。诊断检查发现膈肌位置较高、右心受压和室上性心动过速。同时偶然发现肝膈结肠间位（奇莱迪蒂综合征）。通过右胸切开术行膈肌折叠术并还纳肠管对该患者治疗有效。这是文献中第二例同时发生膈肌膨出和奇莱迪蒂综合征的报道病例。