Diaphragmatic plicature in a patient presenting a paralysis of the right hemidiaphragm after cardiac surgery

Authors

  • Gustavo de J. Bermúdez Yera Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Noel L. Castillo García Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Jorge Méndez Méndez Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Yolepsis F. Quintero Fleites Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Álvaro L. Lagomasino Hidalgo Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Carlos Santana Santana Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Carlos Osorio Gómez Hospital Provincial Universitario Cardiocentro Ernesto Guevara

Keywords:

thoracic surgery, respiratory paralysis, phrenic nerve

Abstract

The paralysis of the hemidiaphragm can take place due to different causes, one of them is heart surgery, but it has as common factor the presence of phrenic nerve paralysis. The case of a 53 year-old woman who had received the implant of a mitral prosthesis two years ago and now required an emergency reintervention due to a prosthetic thrombosis is presented in this article. The mechanical artificial ventilation was prolonged and it was impossible to be stopped due to a great elevation of the right hemidiaphragm. The use of a surgical treatment was decided and the technique of diaphragmatic plicature was implemented. The patient was extubated the fifth day after the last surgical intervention, was treated with non-invasive ventilation during three more days and was finally discharged after 16 days of having underwent the plicature.

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References

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Published

2009-01-05

How to Cite

1.
Bermúdez Yera G de J, Castillo García NL, Méndez Méndez J, Quintero Fleites YF, Lagomasino Hidalgo Álvaro L, Santana Santana C, et al. Diaphragmatic plicature in a patient presenting a paralysis of the right hemidiaphragm after cardiac surgery. CorSalud [Internet]. 2009 Jan. 5 [cited 2025 Sep. 12];1(1). Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/1058

Issue

Vol. 1 No. 1 (2009)

Section

CASE REPORTS

Categories

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