Korean J Thorac Cardiovasc Surg.
2003 Dec;36(12):985-990.
Treatment of Bilateral Diaphragmatic Paralysis after Resection of Thymic Carcinoma: One case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Inje University Seoul Paik Hospital, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, Korea. kimyns@ilsanpaik.ac.kr
- 3Department of Pulmonary Internal Medicine, Inje University Ilsan Paik Hospital, Korea.
- 4Department of Anatomical Pathology, Inje University Ilsan Paik Hospital, Korea.
Abstract
- Bilateral diaphragmatic paralysis is a rare disease. It is caused by trauma, cardiothoracic surgery, neuromuscular disorders, cervical spondylosis, and infection. A 60 year-old male patient developed bilateral diaphragmatic paralysis after an en-bloc resection of thymic carcinoma which invaded the right upper lobe, pericardium, superior vena cava and innominate vein. Severe respiratory difficulty developed and ventilator weaning was impossible. We performed bilateral diaphragmatic plication. After the operation, satisfactorily ventilator weaning and sleeping in supine position were possible; therefore, we report this case.
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