Phrenic Nerve Injury During Cardiac Surgery: Mechanisms, Management and Prevention

Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypotherm...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2013-11, Vol.22 (11), p.895-902
Main Authors: Aguirre, Victor J., MBBS, Sinha, Priyanka, MBBS, Zimmet, Adam, FRACS, Lee, Geraldine A., MPhil, Kwa, Lachlan, MBBS, BmedSc, Rosenfeldt, Franklin, MD, FRACS
Format: Article
Language:English
Subjects:
Adolescent
Cardiac Surgical Procedures - adverse effects
Cardiovascular
Child
Child, Preschool
Cold cardioplegia
Diaphragmatic paralysis
Humans
Ice slush
Internal mammary artery
Pericardiacophrenic artery
Peripheral Nerve Injuries - etiology
Peripheral Nerve Injuries - pathology
Peripheral Nerve Injuries - prevention & control
Phrenic nerve
Phrenic Nerve - injuries
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Summary:Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypothermia, mechanical trauma and possibly ischaemia. A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2013.06.010