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Chirurgia 2006 February;19(1):45-7

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Bilateral phrenic nerve paralysis after cardiac surgery. A case report

Aydin H., Kandemir O.,Yorgancioglu C., Zorlutuna Y.

Department of Cardıovascular Surgery, Bayındır Hospıtal, Ankara, Turkey


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Although different myocardial protection techniques are used in cardiac surgery today, the key principle with them is decreasing myocardial oxygen consumption by maintaining cold myocardium. Topical ice slush is used in addition to blood cardioplegia for this purpose but very rarely it causes discouraging results. Bilateral diaphragmatic paralysis is a rare but serious complication of cardiac surgery caused mainly by hypothermic injury which can prolong the postoperative course. The purpose of this report is to present a case of bilateral paralysis of the diaphragm after open heart surgery resolving in a relatively long time.

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