• Ann. Thorac. Surg. · Jul 2017

    Case Reports

    Phrenic Nerve Reconstruction and Bilateral Diaphragm Plication After Lobectomy.

    • Shuichi Shinohara, Tetsu Yamada, Mitsuhiro Ueda, Hiroyoshi Ishinagi, Takahisa Matsuoka, Shinjiro Nagai, Katsunari Matsuoka, and Yoshihiro Miyamoto.
    • Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Japan. Electronic address: musictiger617@gmail.com.
    • Ann. Thorac. Surg. 2017 Jul 1; 104 (1): e9-e11.

    AbstractA 49-year-old man with left phrenic nerve paralysis caused by mediastinal tumor resection 28 years earlier was found to have a nodule in the right upper lobe. The right phrenic nerve was severed during right upper lobectomy but was reconstructed along with bilateral plication of the diaphragm. The patient was weaned from the ventilator during the daytime on postoperative day 13 and was discharged home on postoperative day 48. Three months postoperatively, chest fluoroscopic imaging showed recovery of movement of the right diaphragm. Nerve conduction studies showed improvement of function of the reconstructed right phrenic nerve.Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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