| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 49, 248-251, Copyright © 1990 by The Society of Thoracic Surgeons
DR Graham, D Kaplan, CC Evans, CR Hind and RJ Donnelly
Unilateral paralysis of the diaphragm due to nonmalignant disease is an
uncommon disorder previously thought to have benign implications. Some
patients, however, experience dyspnea and orthopnea with impairment of
pulmonary function. Unilateral diaphragmatic plication was performed on 17
patients (16 men and 1 woman with a mean age of 53.7 years [range, 28 to 74
years]) during the last 10 years. Preoperatively each patient was shown to
have paradoxical movement of the paralyzed diaphragm on sniffing and to
have a reduction in forced vital capacity and lung volumes. These
reductions were greater when the patient was in the supine position. All
patients had moderate hypoxemia (mean arterial oxygen tension, 73.1 +/-
10.9 mm Hg). Plication was performed by imbricating the diaphragm in layers
through a thoracotomy incision. After plication, all patients showed both
subjective and objective improvement. Six patients were reassessed 5 or
more years after plication (range, 5 to 7 years), and the improvement was
maintained. Diaphragmatic plication is a safe and effective procedure for
adult patients with dyspnea due to unilateral diaphragmatic paralysis;
furthermore, the initial improvement is maintained.
ARTICLES
Diaphragmatic plication for unilateral diaphragmatic paralysis: a 10- year experience
Regional Adult Cardiothoracic Unit, Broadgreen Hospital, Liverpool, United Kingdom.
This article has been cited by other articles:
|
|
 |
|
  P. Ugalde, S. Miro, S. Provencher, M. Quevillon, L. Chau, D. R. Deslauriers, Y. Lacasse, S. Ferland, S. Simard, and J. Deslauriers Ipsilateral Diaphragmatic Motion and Lung Function in Long-Term Pneumonectomy Patients. Ann. Thorac. Surg., December 1, 2008; 86(6): 1745 - 1752. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Havens, E. Kelly, and V. Patel A 78-Year-Old Man With an Elevated Hemidiaphragm Following Trauma Chest, December 1, 2008; 134(6): 1336 - 1339. [Full Text] [PDF]
|
|
|
|
 |
|
 M. I.M. Versteegh, J. Braun, P. G. Voigt, D. B. Bosman, J. Stolk, K. F. Rabe, and R. A.E. Dion Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea Eur. J. Cardiothorac. Surg., September 1, 2007; 32(3): 449 - 456. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ohta, N. Ikeda, H. Tanaka, A. Matsumura, H. Ohsumi, and K. Iuchi Satisfactory Results of Diaphragmatic Plication for Bilateral Phrenic Nerve Paralysis Ann. Thorac. Surg., September 1, 2007; 84(3): 1029 - 1031. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Phadnis, J. E. Pilling, T. W. Evans, and P. Goldstraw Abdominal compartment syndrome: a rare complication of plication of the diaphragm. Ann. Thorac. Surg., July 1, 2006; 82(1): 334 - 336. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.-L. Chuang, D. C.C. Chuang, I-F. Lin, J. R.E. Vintch, J. J.W. Ker, and T. C.Y. Tsao Ventilation and Exercise Performance After Phrenic Nerve and Multiple Intercostal Nerve Transfers for Avulsed Brachial Plexus Injury Chest, November 1, 2005; 128(5): 3434 - 3439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Mouroux, N. Venissac, F. Leo, M. Alifano, and F. Guillot Surgical Treatment of Diaphragmatic Eventration Using Video-Assisted Thoracic Surgery: A Prospective Study Ann. Thorac. Surg., January 1, 2005; 79(1): 308 - 312. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Deng, K. Byth, and H. S. Paterson Phrenic nerve injury associated with high free right internal mammary artery harvesting Ann. Thorac. Surg., August 1, 2003; 76(2): 459 - 463. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. Hines Video-assisted diaphragm plication in children Ann. Thorac. Surg., July 1, 2003; 76(1): 234 - 236. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D A Simansky, M Paley, Y Refaely, and A Yellin Diaphragm plication following phrenic nerve injury: a comparison of paediatric and adult patients Thorax, July 1, 2002; 57(7): 613 - 616. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Higgs, A. Hussain, M. Jackson, R. J. Donnelly, and R. G. Berrisford Long term results of diaphragmatic plication for unilateral diaphragm paralysis Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 294 - 297. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Schoeller, M. Ohlbauer, G. Wechselberger, H. Piza-Katzer, and R. Margreiter Successful immediate phrenic nerve reconstruction during mediastinal tumor resection J. Thorac. Cardiovasc. Surg., December 1, 2001; 122(6): 1235 - 1237. [Full Text] [PDF]
|
|
|
|
 |
|
 L. R. Sajja, A. Farooqi, R. B. Yarlagadda, M. S. Shaik, L. R. Sajja, A. Farooqi, R. B. Yarlagadda, and M. S. Shaik Surgical Management of Eventration of Diaphragm in an Elderly Patient Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 180 - 182. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Stolk and M. I.M. Versteegh Long-term Effect of Bilateral Plication of the Diaphragm Chest, March 1, 2000; 117(3): 786 - 789. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. T.M. Lai and H. S. Paterson Mini-thoracotomy for diaphragmatic plication with thoracoscopic assistance Ann. Thorac. Surg., December 1, 1999; 68(6): 2364 - 2365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. C. Mineo and V. Ambrogi THE DIAPHRAGMATIC FLAP: A MULTIUSE MATERIAL IN THORACIC SURGERY J. Thorac. Cardiovasc. Surg., December 1, 1999; 118(6): 1084 - 1089. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-i. Watanabe, S. Shimokawa, M. Fukueda, T. Kinjyo, and A. Taira Large Eventration of Diaphragm in an Elderly Patient Treated With Emergency Plication Ann. Thorac. Surg., June 1, 1998; 65(6): 1776 - 1777. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. de Perrot, A. Schweizer, A. Spiliopoulos, and M. Licker Early improvement of respiratory function after surgical plication for unilateral diaphragmatic paralysis Eur. J. Cardiothorac. Surg., February 1, 1998; 13(2): 206 - 208. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Lorusso, G. Coletti, A. D. Valle, G. Steffenino, G. Aliprandi, and O. Alfieri Right Latissimus Dorsi Cardiomyoplasty in Diaphragm Eventration and Cardiac Malposition Ann. Thorac. Surg., August 1, 1995; 60(2): 452 - 454. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
