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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 78-Year-Old Man With an Elevated Hemidiaphragm Following Trauma

Joaquim M. Havens, MD; Edward Kelly, MD; Vihas Patel, MD
Author and Funding Information

*From Brigham and Women's Hospital, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Boston, MA.

Correspondence to: Joaquim Havens, MD, Brigham and Women's Hospital, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, 75 Francis St, Boston, MA 02115; e-mail: JHAVENS@partners.org


The authors have no conflicts of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(6):1336-1339. doi:10.1378/chest.08-0503
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Extract

A 78-year-old man was transferred to the surgical ICU from an outside hospital after falling down four steps at home and sustaining a right subarachnoid hemorrhage and subdural hematoma. His medical history was significant only for coronary artery disease requiring percutaneous transluminal coronary angioplasty 7 years prior, and multiinfarct dementia. He admitted to a remote history of cigarette smoking, quitting 50 years ago.

CaskeyCIZerhouniEAFishmanEDAging of the diaphragm: a CT studyRadiology1989171385389Di GiorgioACardiniCLSammartinoPDual-layer sandwich mesh repair in the treatment of major diaphragmatic eventration in an adultJ Thorac Cardiovasc Surg2006132187189GrahamDRKaplanDEvansCCDiaphragmatic plication for the unilateral diaphragmatic paralysis: a 10-year experienceAnn Thorac Surg199049248252KoesslerWWankeTWinklerGTwo-year experience with inspiratory muscle training in patients with neuromuscular disordersChest2001120765769LeoFVenissacNMoralesFPlication for diaphragmatic eventration: a simple technique, not a simple problem [letter]Chest20041251170McNamaraJJPaulsonDLUrschelHCEventration of the diaphragmSurgery19686410131021MourouxJVenissacNLeoFSurgical treatment of diaphragmatic eventration using video-assisted thoracic surgery: a prospective studyAnn Thorac Surg200579308312NchimiASzapiroDGhayeBHelical CT of blunt diaphragmatic ruptureAJR Am J Roentgenol20051842430RyckamFCBakerRJFischerJEEventration of the diaphragmMastery of surgery2001Philadelphia, PALippincott Williams & Wilkins708712ShanmuganathanKKilleenKMirvisSImaging diaphragmatic injuriesJ Thorac Imaging200015104111

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