Phrenic nerve injury associated with venipuncture of the internal jugular vein.
Coincident with repeated, unsuccessful efforts to place a transvenous pacemaker through the right internal jugular vein, and 81-year-old man developed paralysis of the right hemidiaphragm. The patient had sudden shortness of breath and hypoxemia that rapidly subsided, although the loss of diaphragmatic function appears to be permanent.
D000368:Aged; D001145:Arrhythmias, Cardiac / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects*; D003964:Diaphragm / Q000294:innervation; D004417:Dyspnea / Q000209:etiology; D006406:Hematoma / Q000209:etiology; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D007601:Jugular Veins; D008297:Male; D010791:Phrenic Nerve / Q000293:injuries*; D012133:Respiratory Paralysis / Q000209:etiology*