scholarly journals Successful treatment of phrenic nerve injury with diaphragmatic plication 5 years after onset: A case report

2022 ◽  
Vol 10 ◽  
pp. 2050313X2110705
Author(s):  
Chihiro Ohashi ◽  
Takahiro Uchida ◽  
Yugo Tanaka ◽  
Yoshimasa Maniwa
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Nerve Injury ◽  
Conservative Management ◽  
Phrenic Nerve ◽  
Respiratory Symptoms ◽  
Rare Case ◽  
Diaphragmatic Paralysis ◽  
Phrenic Nerve Injury ◽  
Diaphragmatic Plication

Diaphragmatic paralysis due to phrenic nerve injury is an occasional complication of cardiothoracic surgery. Although diaphragmatic plication is widely used to treat patients with severe irreversible symptoms, its surgical indication and timing remain controversial. Here, we present a rare case of diaphragmatic paralysis in a 65-year-old woman who underwent cardiac surgery and whose respiratory symptoms worsened despite >5 years of conservative management. Consequently, she underwent diaphragmatic plication using an endostapler to resect the redundant diaphragm, followed by over-suturing of all staple lines. She was discharged without any complications and her symptoms and chest radiography and spirometry results improved postoperatively.

scholarly journals Diaphragm Plication using VATS to Hemi-diaphragmatic Paralysis because of Phrenic Nerve Injury: A Case Report

2007 ◽  
Vol 21 (1) ◽  
pp. 38-42
Author(s):  
Kota Kariatsumari ◽  
Koichi Sakasegawa ◽  
Syun-ichi Watanabe ◽  
Yoshihiro Nakamura ◽  
Kazuhiko Hukumori ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Phrenic Nerve ◽  
Diaphragmatic Paralysis ◽  
Phrenic Nerve Injury

scholarly journals Diaphragmatic Plication for Acquired Phrenic Nerve Injury after Congenital Cardiac Surgeries

2020 ◽  
Vol 2 (1) ◽  
pp. 33-38
Author(s):  
Osman Al-Radi
Keyword(s):  
Nerve Injury ◽  
Phrenic Nerve ◽  
Ventilatory Support ◽  
Diaphragmatic Paralysis ◽  
Diaphragmatic Dysfunction ◽  
Common Procedure ◽  
Phrenic Nerve Injury ◽  
Diaphragmatic Plication ◽  
Initial Surgery ◽  
The Mean

Background: Phrenic nerve injury and diaphragmatic dysfunction are common after pediatric cardiac surgery leading to failure to wean from ventilatory support. Diaphragmatic plication is the standard management of diaphragmatic paralysis. The aim of this retrospective study is to review our experience with diaphragmatic plication and its effect on the operative outcome. Methods: This retrospective cohort study included all patients who underwent diaphragmatic plication from June 2010 to June 2017. Seventy-six patients (2.87%) had unilateral diaphragmatic paralysis following 2646 congenital cardiac procedures. Sixty-four patients (2.4%) underwent diaphragmatic plication. Results: The median age for the patients who had plication was 2.75 months (range 0.5- 36) and 3.7 months (range 0.66 to 123) for non-plicated patients. Thirty-six were males (56.25%), and the most common procedure associated with diaphragmatic plication was modified Blalock Taussig Shunt (n= 13; 20.3%). Left-sided diaphragmatic plication was performed in 44 patients (68.7%). The mean time between the primary surgery and diaphragm plication was 6.42±4.51 days. The mean ventilation period before plication was 4.93±3.71 days, and post plication ventilation median time was 2.11±1.82 days. Two patients (3.1%) required tracheostomy for prolonged respiratory insufficiency. One patient (1.6%) needed surgical revision, and two patients (3.1%) had their diaphragmatic plication during the initial surgery. Conclusion: Diaphragmatic plication is an effective procedure in the management of postoperative diaphragmatic paralysis. We recommend early plication for patients with symptomatic diaphragmatic paralysis causing prolonged ventilation

UNILATERAL PARALYSIS OF THE DIAPHRAGM IN THE NEWBORN INFANT DUE TO PHRENIC NERVE INJURY, WITH AND WITHOUT ASSOCIATED BRACHIAL PALSY

PEDIATRICS ◽  
1952 ◽  
Vol 9 (1) ◽  
pp. 69-76
Author(s):  
NATHAN SCHIFRIN
Keyword(s):  
Nerve Injury ◽  
Newborn Infant ◽  
Phrenic Nerve ◽  
Muscle Fibers ◽  
Diaphragmatic Paralysis ◽  
Newborn Period ◽  
Phrenic Nerve Injury ◽  
Roentgenographic Examination ◽  
Stimulation Of

The literature on diaphragmatic paralysis in the newborn infant due to phrenic nerve injury is reviewed. Four additional cases are described. Fluoroscopic as well as roentgenographic examination of the chest is urged in the diagnosis of thoracic pathology in the newborn period. Stimulation of the phrenic nerve is believed to be an aid in determining the prognosis. If the diaphragm contracts one can infer that the nerve is intact below the level of stimulation and that the diaphragm has not undergone atrophy of disuse, and that the muscle fibers are capable of contraction when adequately stimulated. Failure of the diaphragm to contract means that the nerve has been compromised below the level of stimulation or that the muscle fibers of the diaphragm are too atrophic to contract. The prognosis in the latter cases must be guarded.

scholarly journals A ferromagnetic surgical system reduces phrenic nerve injury in redo congenital cardiac surgery

2017 ◽  
Vol 24 (5) ◽  
pp. 802-803 ◽  
Author(s):  
Takeshi Shinkawa ◽  
Jessica Holloway ◽  
Xinyu Tang ◽  
Jeffrey M. Gossett ◽  
Michiaki Imamura
Keyword(s):  
Cardiac Surgery ◽  
Nerve Injury ◽  
Phrenic Nerve ◽  
Congenital Cardiac Surgery ◽  
Phrenic Nerve Injury ◽  
Surgical System

scholarly journals Laryngeal Trauma with Phrenic Nerve Injury: A Rare Association

2010 ◽  
Vol 25 (2) ◽  
pp. 39-41 ◽  
Author(s):  
Noor Dina Hashim ◽  
Mohd Razif Mohamad Yunus ◽  
Marina Mat Baki
Keyword(s):  
Nerve Injury ◽  
Phrenic Nerve ◽  
Conservative Therapy ◽  
Diaphragmatic Paralysis ◽  
Referral Centre ◽  
Tertiary Referral Centre ◽  
Respiratory Problems ◽  
Laryngeal Trauma ◽  
Phrenic Nerve Injury ◽  
High Index Of Suspicion

Objective: To share our experience in managing a rare involvement of phrenic nerve injury in laryngeal trauma Methods:             Study Design: Case report             Setting: Tertiary Referral Centre             Patient: One Results: A 23-year-old male sustained blunt laryngeal trauma associated with phrenic nerve injury leading to silent traumatic diaphragmatic paralysis. He underwent tracheotomy and surgical repair of Schaeffer class IV laryngeal injuries, and conservative therapy for the diaphragmatic paralysis, which eventually resolved. Conclusion: Patients with laryngeal trauma may have concomitant phrenic nerve injury causing diaphragmatic paralysis. The diagnosis should be considered particularly if the patient has respiratory problems despite securing the airway by tracheotomy. A high index of suspicion is required in diagnosing such an association. Patients should be closely monitored even though most will recover, as some may present with later morbidities. A search of PubMed and OvidSP using the terms “larynx,” “laryngeal trauma” and “phrenic nerve” did not yield any report of phrenic nerve injury in association with laryngeal trauma. To our knowledge, this is may be the first reported case of phrenic nerve injury in association with blunt laryngeal trauma.  Keywords: larynx, trauma, phrenic nerve

Diaphragmatic paralysis after phrenic nerve injury in newborns

2020 ◽  
Vol 55 (2) ◽  
pp. 240-244 ◽  
Author(s):  
Yazan K. Rizeq ◽  
Benjamin T. Many ◽  
Jonathan C. Vacek ◽  
Audra J. Reiter ◽  
Mehul V. Raval ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Phrenic Nerve ◽  
Diaphragmatic Paralysis ◽  
Phrenic Nerve Injury

Course, Predictors of Diaphragm Recovery After Phrenic Nerve Injury During Pediatric Cardiac Surgery

2013 ◽  
Vol 96 (3) ◽  
pp. 938-942 ◽  
Author(s):  
Brendan M. Smith ◽  
Nchedochukwu J. Ezeokoli ◽  
Alaina K. Kipps ◽  
Anthony Azakie ◽  
Jeffery J. Meadows
Keyword(s):  
Cardiac Surgery ◽  
Nerve Injury ◽  
Phrenic Nerve ◽  
Pediatric Cardiac Surgery ◽  
Phrenic Nerve Injury
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