title: Minimally invasive diaphragm plication in an infant.
abstract: We report the use of video-assisted thoracic surgery to plicate the diaphragm after phrenic nerve injury associated with an operation for congenital heart disease. Right diaphragm paresis developed in a cyanotic newborn girl with pulmonary atresia and intact ventricular septum after a right modified Blalock-Taussig shunt. Diaphragm plication was performed endoscopically and the patient recovered. Refinement of technique and instrumentation may allow wider application of video-assisted thoracoscopic plication of the diaphragm in neonatal and pediatric patients.
authors.affiliation: Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.
authors.forename: C
authors.initials: C
authors.lastname: Van Smith
authors.forename: J P
authors.initials: JP
authors.lastname: Jacobs
authors.forename: R P
authors.initials: RP
authors.lastname: Burke
mesh_terms: D003964:Diaphragm / Q000601:surgery*; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007231:Infant, Newborn; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010791:Phrenic Nerve / Q000293:injuries*; D013906:Thoracoscopy; D014741:Video Recording