Recurrent Respiratory insufficiency Associated with Phrenic Nerve Paralysis after Coronary Artery Bypass Grefting: A Case Report
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 8
Abstract
Eventration of the diaphragm is generally regarded as a condition in which the left or the right leaf of the diaphragm has ascended abnormally high into the chest. The eventration may result from an acquired affection leading to permanent destruction of the phrenic nerve. Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypothermia, mechanical trauma and possibly ischaemia. A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery. Diaphragmatic plication is intended to decrease lung compression, to make the thoracic base and mediastinum more stable, and to strengthen the respiratory action of intercostal, perithoracic, and abdominal muscles. In this case report, a 59-year-old male patient who developed recurrent respiratory insufficiency associated with phrenic nerve paralysis and diaphragmatic eventration after coronary artery bypass graftingin the intensive care unit was presented. Keywords: Diaphragmatic eventration, phrenic nerve paralysis, respiratory insufficiency, coronary artery bypass greftin
Authors and Affiliations
Duygu Kara, Ozgur Ozmen
Keywords
Related Articles
- EP ID EP374373
- DOI -
- Views 83
- Downloads 0
Association of serum uric acid an independent risk factor in acute ischemic stroke
The aim was to study the association between serum uric acid and acute ischemic non embolic stroke. 1oo patients of first ever life time acute ischemic stroke admitted in D. Y. Patil hospital were included. The blood sam...
Association of Mean Platelet Volume with SGOT and CPKMB with Significant Coronary Artery Disease in Patient with Acute Coronary Syndromes
Coronary artery disease is major health problem. Various markers are being studied to diagnose significant coronary artery disease. We conducted this prospective observational study to find any association of mean platel...
Pulmonary Function Tests in Indian Women with Iron Deficiency Anemia
Iron deficiency anemia is the most common cause of nutritional anemias in Indian women. As the oxygen carrying capacity of blood decreases, most of the body systems are affected. The present study was undertaken to analy...
Comparison of Continuous Positive Airway Pressure Therapy with and Without Surfactant in Neonatal Respiratory Distress Syndrome
Neonatal respiratory distress syndrome is an important cause of morbidity and mortality in preterm neonates. Recognition of adverse effects related to mechanical ventilation, led researchers to explore various non-invasi...
A Study of Bacterial Vaginosis with special reference to Gardnerella vaginalis
In Bacterial Vaginosis, the normal lactobacilli dominated flora is replaced by a mixed predominantly anaerobic flora. There is an increase in the obligatory facultative anaerobes like Gardnerella vag...