title: [Diaphragmatic eventration with shock and respiratory distress requiring emergency plication; report of a case].
abstract: A 80-year-old female with an eventration of the left diaphragm, which had been noticed with routine chest roentgenogram in 2006, presented with severe dyspnea and shock vital in 2012. The chest X-ray on admission disclosed elevation of the left hemidiaphragm, dislocation of the heart to the right. The diagnosis of eventration of the diaphragm was confirmed with a computed tomographic scan. She underwent diaphragmatic plication with endostaplers by thoracoscopic surgery. The postoperative course was uneventful except for transient reexpansion pulmonary edema. The patient was extubated on the 5th postoperative day. Dyspnea has disappeared after the operation. She was in a good condition without requiring any additional oxygen.
authors.affiliation: Department of Thoracic Surgery, Sapporo Medical Center Tonan Hospital, Sapporo, Japan.
authors.forename: Tetsuyuki
authors.initials: T
authors.lastname: Okubo
authors.forename: Masaya
authors.initials: M
authors.lastname: Kawada
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Yo
authors.initials: Y
authors.lastname: Kawarada
authors.forename: Shuji
authors.initials: S
authors.lastname: Kitashiro
authors.forename: Shun-ichi
authors.initials: S
authors.lastname: Okushiba
mesh_terms: D000369:Aged, 80 and over; D003965:Diaphragmatic Eventration / Q000150:complications / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D012131:Respiratory Insufficiency / Q000209:etiology*; D012769:Shock / Q000209:etiology*