Vocal cord palsy as a complication of adult cardiac surgery: surgical correlations and analysis

Vocal cord palsy after adult cardiac surgery is often attributed to non-surgical mechanisms as tracheal intubation and central venous catheterisation. It may also be caused by injury of the recurrent laryngeal nerves by surgical dissection. We hereby present a review of relevant clinical reports. Th...

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Published in:European journal of cardio-thoracic surgery 2004-10, Vol.26 (4), p.773-775
Main Authors: Dimarakis, Ioannis, Protopapas, Aristotle D.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cardiac surgery
Cardiac Surgical Procedures - adverse effects
Complication
Humans
Internal thoracic artery risk management
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Risk Factors
Vocal cord
Vocal Cord Paralysis - etiology
Vocal Cords - injuries
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container_title European journal of cardio-thoracic surgery
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creator Dimarakis, Ioannis
Protopapas, Aristotle D.
description Vocal cord palsy after adult cardiac surgery is often attributed to non-surgical mechanisms as tracheal intubation and central venous catheterisation. It may also be caused by injury of the recurrent laryngeal nerves by surgical dissection. We hereby present a review of relevant clinical reports. The cumulative incidence was 1.1% (33 in 2980). Main reported surgical mechanisms of injury were harvesting of internal thoracic artery and topical cold cardioprotection. Bilateral nerve palsy has been lethal on at least one occasion. Where vocal cord injury followed harvesting of the left internal thoracic artery, it was reported ipsilateral to the conduit.
doi_str_mv 10.1016/j.ejcts.2004.06.003
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source Oxford Journals Online
subjects Adult
Biological and medical sciences
Cardiac surgery
Cardiac Surgical Procedures - adverse effects
Complication
Humans
Internal thoracic artery risk management
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Risk Factors
Vocal cord
Vocal Cord Paralysis - etiology
Vocal Cords - injuries
title Vocal cord palsy as a complication of adult cardiac surgery: surgical correlations and analysis
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