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Korean J Thorac Cardiovasc Surg 2002; 35(7): 560-563

Published online July 5, 2002

Copyright © Journal of Chest Surgery.

Phrenic Nerve Reconstruction During Anterior Mediastinal Tumor Resection

Tae Yoon Kim*, Ki Woo Hong*, Kun Il Kim*,
Won Jin Lee*, Kwang Min Choi*

Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Hallym Univ., college of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Unilateral diaphragmatic paralysis due to a phrenic nerve injury is not rare after cardiothoracic surgery and may range from an asymptomatic radiographic abnormality to severe pulmonary dysfunction and even mortality in patients with reduced lung function. The most effective treatment for symptomatic unilateral diaphragmatic paralysis has been known to be a plication of the paralyzed hemidiaphragm. A 38 year-old male patient with asthma received a phrenic nerve reconstruction with a sural nerve for right phrenic nerve injury during resection of the anterior mediastinal tumor. Ten months later, chest PA showed good result and we report this case with literature.

Keywords: 1. Diaphragm 2. Phrenic nezve

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Case

Korean J Thorac Cardiovasc Surg 2002; 35(7): 560-563

Published online July 5, 2002

Copyright © Journal of Chest Surgery.

Phrenic Nerve Reconstruction During Anterior Mediastinal Tumor Resection

Tae Yoon Kim*, Ki Woo Hong*, Kun Il Kim*,
Won Jin Lee*, Kwang Min Choi*

Department of Thoracic & Cardiovascular Surgery, Hallym University Sacred Heart Hospital, Hallym Univ., college of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Unilateral diaphragmatic paralysis due to a phrenic nerve injury is not rare after cardiothoracic surgery and may range from an asymptomatic radiographic abnormality to severe pulmonary dysfunction and even mortality in patients with reduced lung function. The most effective treatment for symptomatic unilateral diaphragmatic paralysis has been known to be a plication of the paralyzed hemidiaphragm. A 38 year-old male patient with asthma received a phrenic nerve reconstruction with a sural nerve for right phrenic nerve injury during resection of the anterior mediastinal tumor. Ten months later, chest PA showed good result and we report this case with literature.

Keywords: 1. Diaphragm 2. Phrenic nezve

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