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J Thorac Cardiovasc Surg 2007;133:1380-1381
© 2007 The American Association for Thoracic Surgery

Brief Communication

Right diaphragmatic eventration associated with dextrocardia, hypoplasia of the right lower pulmonary lobe, and agenesis of the inferior vena cava

El Hassane Kabiri, MD*, Abdelfettah Zidane, MD, Adil Arsalane, MD, Fouad Atoini, MD

Department of Thoracic Surgery, Mohamed V Military Teaching Hospital (Hôpital Militaire d’Instruction Mohammed V), Rabat, Morocco.

Received for publication November 16, 2006; accepted for publication December 12, 2006.

* Address for reprints: El Hassane Kabiri, MD Immeuble 29 Appt 7, Résidence Mes Ellil, Secteur 23, Riad 10100, Rabat, Morocco. (Email: hassankabiri@yahoo.com).

The first 20% of the full text of this article appears below.


Figure 1
Dr Kabiri


Diaphragmatic eventration (DE) is defined as the abnormal and permanent elevation of the hemidiaphragm without defects. It may be congenital (muscular hypoplasia) or acquired (injury of the phrenic nerve).

DE has been reported alone or in association with other malformations. We report a 39-year-old woman with right-sided DE associated with dextrocardia, hypoplastic right lower lobe of the lung, and malformation of the azygos venous systems with agenesis of the inferior vena cava.

Clinical Summary

A 39-year-old woman was referred to our department for dyspnea, chest pain, recurrent pulmonary infection (right lower lobe), and a recent episode of vomiting. Chest radiography (Figure 1) showed an elevation of the posterior portion of the right hemidiaphragm and dextrocardia. A posterolateral thoracotomy was performed. After pulmonary liberation, we noticed an elevation of the posterior portion of the . . . [Full Text of this Article]






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