Right diaphragm paralysis following cardiac radiofrequency catheter ablation for inappropriate sinus tachycardia.
We describe a case of permanent right diaphragm paralysis following a radiofrequency cardiac ablation procedure. The relationship between the procedure and the phrenic nerve lesion is discussed with respect to the possible pathogenetic mechanisms. Radiofrequency current used in cardiac electrophysiology may cause serious thoracic nerve injuries. Means to avoid this complication are pointed out.
Durante-Mangoni
Emanuele
E
Institute of Medical Therapy, Internal Medicine Division, Ospedale Gesù e Maria, II University of Naples, Italy. emanuele.durante@unina2.it
Del Vecchio
Davide
D
Ruggiero
Giuseppe
G
D000328:Adult; D017115:Catheter Ablation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010791:Phrenic Nerve / Q000293:injuries*; D012133:Respiratory Paralysis / Q000209:etiology*; D013616:Tachycardia, Sinus / Q000601:surgery*