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Bilateral phrenic nerve palsy following aortic valve surgery
Elisabeth Beran1, Joseph F K Marzouk, Wade R Dimitri
1Department of Cardiothoracic Surgery, University Hospitals Coventry & Warwickshire NHS Trust, Coventry, UK.
Journal of Cardiac Surgery
|November 20, 2008
Summary
Bilateral phrenic nerve palsy is a rare complication after open cardiac surgery. This case highlights diaphragm placation and rehabilitation as successful treatments for this condition.
Area of Science:
- Cardiology
- Thoracic Surgery
- Neurology
Background:
- Bilateral phrenic nerve palsy is an exceptionally rare complication following open cardiac surgery.
- The etiology of this condition remains unclear despite various proposed contributing factors.
Observation:
- A 78-year-old female developed bilateral phrenic nerve palsy after aortic valve replacement and coronary artery bypass grafting.
- The patient required prolonged ventilatory support post-surgery, with diagnosis confirmed via imaging.
Findings:
- The patient successfully recovered breathing independently after undergoing bilateral hemi diaphragm placation and extensive respiratory rehabilitation.
- Literature search identified only two previously reported similar cases.
Implications:
- This case underscores the importance of recognizing and managing bilateral phrenic nerve palsy in cardiac surgery patients.
- Increased awareness and further research are crucial for understanding the unclear etiology and improving patient outcomes.
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