Postoperative phrenic nerve palsy in patients with open-heart surgery

Omkar Markand, S. S. Moorthy, Y. Mahomed, R. D. King, John Brown

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

We prospectively studied patients undergoing open-heart surgical procedures to evaluate the role of phrenic nerve palsy in the causation of the high incidence of pulmonary complications reported in these patients. Although atelectasis, or infiltrates, or both developed in the left lower lobe of 98% of the patients (43 of 44) with or without similar changes on the right side, only 5 (11%) of the 44 patients had diaphragmatic dysfunction following operation. In 1, the left phrenic nerve became inexcitable; 2 had paresis of the left hemidiaphragm, and 2 had paresis of the right hemidiaphragm. Although damage to the phrenic nerve can occur during open-heart operations, a relatively low incidence of this complication does not support it as the major cause of postoperative pulmonary complications.

Original languageEnglish
Pages (from-to)68-73
Number of pages6
JournalAnnals of Thoracic Surgery
Volume39
Issue number1
StatePublished - 1985

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Phrenic Nerve
Paralysis
Thoracic Surgery
Paresis
Cardiac Surgical Procedures
Lung
Pulmonary Atelectasis
Incidence
Causality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Postoperative phrenic nerve palsy in patients with open-heart surgery. / Markand, Omkar; Moorthy, S. S.; Mahomed, Y.; King, R. D.; Brown, John.

In: Annals of Thoracic Surgery, Vol. 39, No. 1, 1985, p. 68-73.

Research output: Contribution to journalArticle

Markand, Omkar ; Moorthy, S. S. ; Mahomed, Y. ; King, R. D. ; Brown, John. / Postoperative phrenic nerve palsy in patients with open-heart surgery. In: Annals of Thoracic Surgery. 1985 ; Vol. 39, No. 1. pp. 68-73.
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