Enlargement of Intrathoracic Goiter with Unilateral Phrenic Nerve Paralysis Leading to Cardiopulmonary Arrest
| Autor: | Nozomu Inoue, Naonori Kawashima, Yuki Tsukamoto, Nobuki Shioya, Naotake Honma, Miyabi Nakayama, Fumiyuki Suzuki, Koji Hazama, Yasuo Shichinohe |
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| Rok vydání: | 2021 |
| Předmět: |
endocrine system
Goiter cardiopulmonary arrest endocrine system diseases medicine.medical_treatment Diaphragm Case Report Atelectasis 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Humans Paralysis Cardiopulmonary resuscitation Aged Mechanical ventilation business.industry General Medicine medicine.disease intrathoracic goiter phrenic nerve paralysis Heart Arrest Hypoventilation Diaphragm (structural system) Phrenic Nerve Respiratory failure Goiter Substernal Anesthesia Breathing Female 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.5075-20 |
| Popis: | As an intrathoracic goiter expands, it causes airway stenosis and phrenic nerve paralysis, and slight respiratory stimuli can trigger sudden life-threatening hypoventilation. A 78-year-old obese woman with a large intrathoracic goiter was found unconscious with agonal breathing in her room early in the morning. Cardiopulmonary resuscitation restored spontaneous circulation. She underwent surgical removal of the goiter; however, she required long-term mechanical ventilation because of atelectasis due to phrenic nerve paralysis. In patients with large intrathoracic goiters, difficulty breathing on exertion and diaphragm elevation on chest X-ray may be significant findings predicting future respiratory failure. |
| Databáze: | OpenAIRE |
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