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Ann Thorac Surg 1998;65:842-844
© 1998 The Society of Thoracic Surgeons

Case Reports

Minimally Invasive Diaphragm Plication in an Infant

Chris Van Smith, BS, Jeffrey P. Jacobs, MD, Redmond P. Burke, MD

Division of Cardiovascular Surgery, Miami Children’s Hospital, Miami, Florida, USA

Accepted for publication October 21, 1997.

Dr Burke, Division of Cardiovascular Surgery, Miami Children’s Hospital, 3200 SW 60th Court, Suite 102, Miami, FL 33155-4069.

We report the use of video-assisted thoracic surgery to plicate the diaphragm after phrenic nerve injury associated with an operation for congenital heart disease. Right diaphragm paresis developed in a cyanotic newborn girl with pulmonary atresia and intact ventricular septum after a right modified Blalock-Taussig shunt. Diaphragm plication was performed endoscopically and the patient recovered. Refinement of technique and instrumentation may allow wider application of video-assisted thoracoscopic plication of the diaphragm in neonatal and pediatric patients.




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