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Mohammad Shihata
John C. Mullen
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Ann Thorac Surg 2007;83:1201-1203
© 2007 The Society of Thoracic Surgeons


Case Reports

Bilateral Diaphragmatic Plication in the Setting of Bilateral Sequential Lung Transplantation

Mohammad Shihata, MD, John C. Mullen, MD*

Division of Cardiac Surgery, The University of Alberta, Edmonton, Alberta, Canada

Accepted for publication September 5, 2006.

* Address correspondence to Dr Mullen, Department of Surgery, The University of Alberta Hospital, 2D2.18 W.C. Mackenzie Health Sciences Centre, 8440-112 St, Edmonton, Alberta T6G 2B7 Canada (Email: jmullen{at}ualberta.ca).

Diaphragmatic paralysis can lead to significant ventilatory impairment, especially if associated with underlying lung disease. Adequate ventilatory mechanics are essential for good outcomes after lung transplantation. We report a case of bilateral diaphragmatic plication at the time of double lung transplantation as an attempt to improve posttransplant ventilation, with good outcome.







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