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Chirurgia 2017 August;30(4):135-6

DOI: 10.23736/S0394-9508.16.04517-4

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Bilateral Tapia’s syndrome: a rare case following cardiac surgery

Ram R. VENUGOPAL 1, Sunil P. KRISHNAJIRAO 1, Madhusudana NARAYAN 1, Chandana N. CHANDRASHEKAR 1, Avinash B. HADIMANI 2

1 Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India; 2 Medical Services, Health Care Metabolics Division, Biocon Pvt LTD, Bangalore, India


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Cranial nerve palsy is extremely rare after cardiac surgery. Tapia’s syndrome is a combination of recurrent laryngeal and hypoglossal nerve palsy resulting in ipsilateral paralysis of the vocal cord and tongue. The main causes are tumours, injuries to the upper neck or after manoeuvring for surgical positioning and during endotracheal and nasogastric intubations. Tapia’s syndrome is a rare disease entity, bilateral nerve palsy is extremely rare and hardly few cases are reported in the literature. We describe a rare case where bilateral Tapia’s syndrome occurred after a successful mitral valve repair for rheumatic severe mitral valve regurgitation.


KEY WORDS: Mitral valve - Cardiac surgical procedures - Recurrent laryngeal nerve - Hypoglossal nerve

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