title: Satisfactory results of diaphragmatic plication for bilateral phrenic nerve paralysis.
abstract: Bilateral diaphragmatic plication was performed in a 44-year-old man who underwent complete resection of a thymoma infiltrating the right lung, bilateral brachiocephalic vein, pericardium, and bilateral phrenic nerves. The plication procedure allowed him to be weaned from the ventilator on postoperative day 4. He demonstrated no restrictive or obstructive pattern of lung function, and after respiratory rehabilitation he returned to work full time 5 weeks after the operation. The present results indicate that ventilatory movement of the thoracic cage can compensate for loss of bilateral diaphragmatic ventilation for at least 18 months.
authors.affiliation: Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino City, Osaka, Japan. ootami@opho.jp
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Ohta
authors.forename: Naoki
authors.initials: N
authors.lastname: Ikeda
authors.forename: Hisaichi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Akihide
authors.initials: A
authors.lastname: Matsumura
authors.forename: Hisatoshi
authors.initials: H
authors.lastname: Ohsumi
authors.forename: Keiji
authors.initials: K
authors.lastname: Iuchi
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000601:surgery*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery; D010791:Phrenic Nerve / Q000293:injuries*; D012133:Respiratory Paralysis / Q000601:surgery*; D013945:Thymoma / Q000601:surgery