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Ann Thorac Surg 2007;84:1029-1031
© 2007 The Society of Thoracic Surgeons

Case Reports

Satisfactory Results of Diaphragmatic Plication for Bilateral Phrenic Nerve Paralysis

Mitsunori Ohta, MD, PhDa,*, Naoki Ikeda, MD, PhDa, Hisaichi Tanaka, MD, PhDb, Akihide Matsumura, MD, PhDb, Hisatoshi Ohsumi, MD, PhDb, Keiji Iuchi, MD, PhDb

a Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino City, Osaka, Japan
b National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan

Accepted for publication April 18, 2007.

* Address correspondence to Dr Ohta, Department of General Thoracic Surgery, Osaka Prefectural Medical Center for Respiratory and Allergic Disease, 3-7-1, Habikino, Habikino City, Osaka, 853-8588, Japan (Email: ootami{at}opho.jp).

Bilateral diaphragmatic plication was performed in a 44-year-old man who underwent complete resection of a thymoma infiltrating the right lung, bilateral brachiocephalic vein, pericardium, and bilateral phrenic nerves. The plication procedure allowed him to be weaned from the ventilator on postoperative day 4. He demonstrated no restrictive or obstructive pattern of lung function, and after respiratory rehabilitation he returned to work full time 5 weeks after the operation. The present results indicate that ventilatory movement of the thoracic cage can compensate for loss of bilateral diaphragmatic ventilation for at least 18 months.






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