Delayed Onset Transient Diaphragmatic Paralysis after Pacemaker Implantation.
10.18501/arrhythmia.2016.020
- Author:
So Yeon KIM
1
;
Jong Sung PARK
Author Information
1. Department of Cardiology, Dong-A University Medical College, Busan, Republic of Korea. thinkmed@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Pacemaker;
Diaphragmatic Paralysis;
Phrenic nerve
- MeSH:
Aged;
Body Size;
Diaphragm;
Dyspnea;
Female;
Humans;
Lung;
Needles;
Phrenic Nerve;
Punctures;
Radiography;
Respiratory Paralysis*;
Thorax
- From:International Journal of Arrhythmia
2016;17(2):108-111
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 77-year-old woman presented with exertional dyspnea six days after left pectoral pacemaker implantation. Chest radiography at presentation showed that her left diaphragm was elevated when compared to earlier films. A fluoroscopic sniff test confirmed left diaphragmatic paralysis. Thoracic computed tomography did not reveal any major vascular or lung parenchymal injury; however, phrenic nerve injury on direct needle puncture during the original surgery was suspected. The patient's small body size may have increased the risk of this injury. Delayed-onset unilateral diaphragmatic paralysis appears to be a rare complication of cardiac device implantation.
