[논문]Diaphragmatic Nerve Palsy After Cardiac Surgery in Children in Egypt : Outcome and Debate in Management

Tantawy, Amira Esmat El; Imam, Soha; Shawky, Hisham; Salah, Tarek

doi:10.1177/2150135112454444

Diaphragmatic Nerve Palsy After Cardiac Surgery in Children in Egypt : Outcome and Debate in Management

World journal for pediatric & congenital heart surgery, v.4 no.1, 2013년, pp.19 - 23

Tantawy, Amira Esmat El (Department of Pediatrics, Cairo University, Cairo, Egypt) , Imam, Soha (Department of Pediatrics, Cairo University, Cairo, Egypt) , Shawky, Hisham (Department of Thoracic and Cardiovascular Surgery, Cairo University, Cairo, Egypt) , Salah, Tarek (Department of Thoracic and Cardiovascular Surgery, Cairo University, Cairo, Egypt)

Abstract ▼ AI-Helper

Introduction: Diaphragmatic paralysis (DP) due to phrenic nerve injury is a complication which occurs in association with congenital cardiac surgery and may be a life-threatening event in infants and young children. Information about this complication is still scarce from the developing countries. Methods: Retrospective study evaluated the incidence of DP among 414 patients who underwent congenital cardiac surgery in Abo Elriesh Children’s Specialized Hospital, Cairo University, Egypt, in the duration from April 2009 to December 2011. Results: Incidence of DP was 3.6% (15 of 414 cases). Median age of affected patients was 10 months (ranged from 1 month to 13 years). Diagnosis of DP was observed after ventricular septal defect repair (3.9%), Glenn anastomosis (8.6%), Tetralogy of Fallot repair (4.3%), Senning operation (10%), arterial switch operation (3.2%), Fontan procedure (33%), coarctation of the aorta repair (7%), and pulmonary artery banding (6.4%). Diaphragmatic plication was performed in 4 of 15 cases. Patients with DP had significantly prolonged mechanical ventilation duration as compared to unaffected patients (median 120, range 48-600 vs 4, range 0-48 hours, P < .000). They also had a higher incidence of nosocomial pneumonia in 8 of 15 (53%) cases, longer duration of intensive care unit stay (median 15, range 4-62 days, P < .006), and significant mortality in 7 of 15 (46%; P < .004). Mortality among patients who underwent diaphragm plication was 1 of 4 (25%). Conclusion: Diaphragmatic paralysis is a relatively rare complication of congenital cardiac surgery in children. Its occurrence is associated with increased morbidity and mortality. A high index of clinical suspicion, utilization of bedside diagnostic tools, and a policy of early plication for certain patients may lead to improved outcomes.

참고문헌 (16)

de Leeuw, Maaike, Williams, Joyce M., Freedom, Robert M., Williams, William G., Shemie, Sam D., McCrindle, Brian W.. Impact of diaphragmatic paralysis after cardiothoracic surgery in children. The Journal of thoracic and cardiovascular surgery, vol.118, no.3, 510-517.

상세보기
Joho-Arreola, A.L., Bauersfeld, U., Stauffer, U.G., Baenziger, O., Bernet, V.. Incidence and treatment of diaphragmatic paralysis after cardiac surgery in children. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, vol.27, no.1, 53-57.

상세보기
Journal of Thoracic and cardiovascular surgery Watanabe T 383 94 1988 10.1016/S0022-5223(19)36251-8

상세보기
Miller, Stephen G., Brook, Michael M., Tacy, Theresa A.. Reliability of two-dimensional echocardiography in the assessment of clinically significant abnormal hemidiaphragm motion in pediatric cardiothoracic patients: Comparison with fluoroscopy* :. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, vol.7, no.5, 441-444.

상세보기
Sanchez de Toledo, Joan, Munoz, Ricardo, Landsittel, Douglas, Shiderly, Dana, Yoshida, Masahiro, Komarlu, Rukmini, Wearden, Peter, Morell, Victor O., Chrysostomou, Constantinos. Diagnosis of Abnormal Diaphragm Motion after Cardiothoracic Surgery: Ultrasound Performed by a Cardiac Intensivist vs. Fluoroscopy : Diaphragmatic Motion Assessment after Heart Surgery. Congenital heart disease, vol.5, no.6, 565-572.

상세보기
Talwar, Sachin, Agarwala, Sandeep, Mittal, Chander Mohan, Choudhary, Shiv Kumar, Airan, Balram. Diaphragmatic palsy after cardiac surgical procedures in patients with congenital heart. Annals of pediatric cardiology, vol.3, no.1, 50-57.

상세보기
Hamilton, J R, Tocewicz, K, Elliott, M J, de Leval, M, Stark, J. Paralysed diaphragm after cardiac surgery in children: value of plication.. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, vol.4, no.9, 487-490.

상세보기
van Onna, I.E.W., Metz, R., Jekel, L., Woolley, S.R., van de Wal, H.J.C.M.. Post cardiac surgery phrenic nerve palsy: value of plication and potential for recovery. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, vol.14, no.2, 179-184.

상세보기
Ross Russell, Robert I., Helms, Peter J., Elliott, Martin J.. A prospective study of phrenic nerve damage after cardiac surgery in children. Intensive care medicine, vol.34, no.4, 728-734.

상세보기
Lemmer, Julia, Stiller, Brigitte, Heise, Grit, Hübler, Michael, Alexi-Meskishvili, Vladimir, Weng, Yuguo, Redlin, Matthias, Amann, Valerie, Ovroutski, Stanislav, Berger, Felix. Postoperative phrenic nerve palsy: early clinical implications and management. Intensive care medicine, vol.32, no.8, 1227-1233.

상세보기
Ovroutski, S., Alexi-Meskishvili, V., Stiller, B., Ewert, P., Abdul-Khaliq, H., Lemmer, J., Lange, P.E., Hetzer, R.. Paralysis of the phrenic nerve as a risk factor for suboptimal Fontan hemodynamics. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, vol.27, no.4, 561-565.

상세보기
Akay, Tankut Hakki, Ozkan, Süleyman, Gultekin, Bahadir, Uguz, Emrah, Varan, Birgul, Sezgin, Atilla, Tokel, Kursad, Aslamaci, Sait. Diaphragmatic paralysis after cardiac surgery in children: incidence, prognosis and surgical management. Pediatric surgery international, vol.22, no.4, 341-346.

상세보기
Rosenthal, Victor D., Jarvis, William R., Jamulitrat, Silom, Silva, Cristiane Pavanello Rodrigues, Ramachandran, Bala, Dueñas, Lourdes, Gurskis, Vaidotas, Ersoz, Gulden, Novales, María Guadalupe Miranda, Khader, Ilham Abu, Ammar, Khaldi, Guzmán, Nayide Barahona, Navoa-Ng, Josephine Anne, Seliem, Zeinab Salah, Espinoza, Teodora Atencio, Meng, Cheong Yuet, Jayatilleke, Kushlani. Socioeconomic impact on device-associated infections in pediatric intensive care units of 16 limited-resource countries : International Nosocomial Infection Control Consortium findings*. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, vol.13, no.4, 399-406.

상세보기
Tönz, Martin, von Segesser, Ludwig K, Mihaljevic, Tomislav, Arbenz, Urs, Stauffer, Urs G, Turina, Marko I. Clinical implications of phrenic nerve injury after pediatric cardiac surgery. Journal of pediatric surgery, vol.31, no.9, 1265-1267.

상세보기
Baker, Craig J., Boulom, Valy, Reemtsen, Brian L., Rollins, Robert C., Starnes, Vaughn A., Wells, Winfield J.. Hemidiaphragm plication after repair of congenital heart defects in children: Quantitative return of diaphragm function over time. The Journal of thoracic and cardiovascular surgery, vol.135, no.1, 56-61.

상세보기
Hamilton, J R, Tocewicz, K, Elliott, M J, de Leval, M, Stark, J. Paralysed diaphragm after cardiac surgery in children: value of plication.. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, vol.4, no.9, 487-490.

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Diaphragmatic Nerve Palsy After Cardiac Surgery in Children in Egypt : Outcome and Debate in Management

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