Treatment of Bilateral Diaphragmatic Paralysis after Resection of Thymic Carcinoma: One case report.
- Author:
Jae Wuk KIM
1
;
Seung Woo KIM
;
Yeosoo KIM
;
Ji Yoon RYOO
;
Wook Sung KIM
;
Woo Ik CHANG
;
Jae Yong CHIN
;
Min Kyung KIM
;
Tae Sik KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Inje University Seoul Paik Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Diaphragm;
Diaphragm, physiopathology;
Thymus neoplasm
- MeSH:
Brachiocephalic Veins;
Diaphragm;
Humans;
Male;
Middle Aged;
Pericardium;
Rare Diseases;
Respiratory Paralysis*;
Spondylosis;
Supine Position;
Thymoma*;
Thymus Neoplasms;
Vena Cava, Superior;
Ventilator Weaning
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(12):985-990
- CountryRepublic of Korea
- Language:Korean
-
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.
