Bilateral diaphragmatic paralysis after congenital heart surgery

Ahmet Kırbaş,

doi:10.5606/tgkdc.dergisi.2013.6334

Ahmet Kırbaş¹, Nursen Tanrıkulu², Sezai Çelik³, Emin Tireli⁴, Ömer Işık¹

¹Medicana Çamlıca Hospital, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye
²Medicana Çamlıca Hospital, Anestezi ve Reanimasyon Kliniği, İstanbul, Türkiye
³Medicana Çamlıca Hospital, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye
⁴İstanbul Üniversitesi İstanbul Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2013.6334

Diaphragmatic paralysis following congenital cardiac surgery is a serious complication which may involve unilaterally or exceptionally bilaterally, delaying the recovery and increasing morbidity. The consequences of this complication after all forms of congenital heart surgery in newborns and young infants can be potentially more serious. Early diagnosis and management of diaphragmatic paralysis can potentially reduce complications, decreasing the duration of mechanical ventilation and length of stay in the intensive care unit. In this article, we discuss surgical treatment of three cases with bilateral diaphragmatic paralysis after congenital cardiac surgery.

Keywords : Diaphragm; paralysis; surgery; plication

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