HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Yousuf Mahomed Robert D. King John W. Brown Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Markand, O. N. Articles by Brown, J. W. Search for Related Content PubMed PubMed Citation Articles by Markand, O. N. Articles by Brown, J. W.

Ann Thorac Surg 1985;39:68-73
© 1985 The Society of Thoracic Surgeons

---

Articles

Postoperative Phrenic Nerve Palsy in Patients with Open-Heart Surgery

From the Departments of Neurology, Anesthesia, and Surgery, Indiana University School of Medicine, Indianapolis, IN

Accepted for publication March 30, 1984.

^* Address reprint requests to Dr. Markand, Department of Neurology, Riley A599N, 702 Barnhill Dr, Indianapolis, IN 46223

We prospectively studied patients undergoing open-heart surgical procedures to evaluate the role of phrenic nerve palsy in the causation of the high incidence of pulmonary complications reported in these patients. Although atelectasis, or infiltrates, or both developed in the left lower lobe of 98% of the patients (43 of 44) with or without similar changes on the right side, only 5 (11%) of the 44 patients had diaphragmatic dysfunction following operation. In 1, the left phrenic nerve became inexcitable; 2 had paresis of the left hemidiaphragm, and 2 had paresis of the right hemidiaphragm. Although damage to the phrenic nerve can occur during open-heart operations, a relatively low incidence of this complication does not support it as the major cause of postoperative pulmonary complications.

This article has been cited by other articles:

				N. Lerolle, E. Guerot, S. Dimassi, R. Zegdi, C. Faisy, J.-Y. Fagon, and J.-L. Diehl Ultrasonographic Diagnostic Criterion for Severe Diaphragmatic Dysfunction After Cardiac Surgery Chest, February 1, 2009; 135(2): 401 - 407. [Abstract] [Full Text] [PDF]

				M. Loukas, C. R. Kinsella Jr, R. G. Louis Jr, S. Gandhi, and B. Curry Surgical Anatomy of the Accessory Phrenic Nerve Ann. Thorac. Surg., November 1, 2006; 82(5): 1870 - 1875. [Abstract] [Full Text] [PDF]

				M. A. Merino-Ramirez, G. Juan, M. Ramon, J. Cortijo, E. Rubio, A. Montero, and E. J. Morcillo Electrophysiologic evaluation of phrenic nerve and diaphragm function after coronary bypass surgery: Prospective study of diabetes and other risk factors. J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 530 - 536.e2. [Abstract] [Full Text] [PDF]

				R. Wynne and M. Botti Postoperative Pulmonary Dysfunction in Adults After Cardiac Surgery With Cardiopulmonary Bypass: Clinical Significance and Implications for Practice Am. J. Crit. Care., September 1, 2004; 13(5): 384 - 393. [Abstract] [Full Text] [PDF]

				T. Manabe, M. Ohtsuka, Y. Usuda, K. Imoto, M. Tobe, and Y. Takanashi Ultrasonography and Lung Mechanics Can Diagnose Diaphragmatic Paralysis Quickly Asian Cardiovasc Thorac Ann, December 1, 2003; 11(4): 289 - 292. [Abstract] [Full Text] [PDF]

				F. Laghi and M. J. Tobin Disorders of the Respiratory Muscles Am. J. Respir. Crit. Care Med., July 1, 2003; 168(1): 10 - 48. [Abstract] [Full Text] [PDF]

				R. Salenger, J. S. Gammie, and T. J. Vander Salm Postoperative Care of Cardiac Surgical Patients Card. Surg. Adult, January 1, 2003; 2(2003): 439 - 469. [Full Text]

				G. H. Mills, J. Ponte, C. H. Hamnegard, D. Kyroussis, M. I. Polkey, J. Moxham, and M. Green Tracheal tube pressure change during magnetic stimulation of the phrenic nerves as an indicator of diaphragm strength on the intensive care unit Br. J. Anaesth., December 1, 2001; 87(6): 876 - 884. [Abstract] [Full Text] [PDF]

				M. G. Katz, R. Katz, A. Schachner, and A. J. Cohen Phrenic Nerve Injury After Coronary Artery Bypass Grafting: Will It Go Away? Ann. Thorac. Surg., January 1, 1998; 65(1): 32 - 35. [Abstract] [Full Text] [PDF]

				A. J. Cohen, M. G. Katz, R. Katz, D. Mayerfeld, E. Hauptman, and A. Schachner Phrenic Nerve Injury After Coronary Artery Grafting: Is It Always Benign? Ann. Thorac. Surg., July 1, 1997; 64(1): 148 - 153. [Abstract] [Full Text]

				D. E. Maziak, J. R. Maurer, and S. Kesten Diaphragmatic Paralysis: A Complication of Lung Transplantation Ann. Thorac. Surg., January 1, 1996; 61(1): 170 - 173. [Abstract] [Full Text]

				J.-L. Diehl, F. Lofaso, P. Deleuze, T. Similowski, F. Lemaire, and L. Brochard Clinically relevant diaphragmatic dysfunction after cardiac operations J. Thorac. Cardiovasc. Surg., February 1, 1994; 107(2): 487 - 498. [Abstract] [Full Text]

				J. Efthimiou, J. Butler, C. Woodham, M. K. Benson, and S. Westaby Diaphragm paralysis following cardiac surgery: Role of phrenic nerve cold injury Ann. Thorac. Surg., October 1, 1991; 52(4): 1005 - 1008. [Abstract] [PDF]

				J. J. Curtis, W. Nawarawong, J. T. Walls, R. A. Schmaltz, T. Boley, R. Madsen, and S. K. Anderson Elevated hemidiaphragm after cardiac operations: Incidence, prognosis, and relationship to the use of topical ice slush Ann. Thorac. Surg., December 1, 1989; 48(6): 764 - 768. [Abstract] [PDF]

				J. B. Hall and L. D. H. Wood Liberation of the Patient From Mechanical Ventilation JAMA, March 27, 1987; 257(12): 1621 - 1628. [Abstract] [PDF]