Diaphragmatic elevations following cardiac surgery

• Published in: Türk göğüs kalp damar cerrahisi dergisi 2024-07, Vol.32 (3), p.271-279
• Main Authors: Civelek, İsa, Çelikten, Ayla Ece, Özbek, Hamdi Mehmet, Akkaya, Bekir Boğaçhan, Özen, Anıl, Unal, Ertekin Utku, Birincioğlu, Cemal Levent
• Format: Article
• Language: English
• Subjects: Original
• ISSN: 1301-5680; 2149-8156
• DOI: 10.5606/tgkdc.dergisi.2024.26103

This study aims to investigate the incidence, prognosis, and etiology of diaphragmatic elevation following cardiac surgery. Between February 2019 and December 2019, a total of 888 patients (631 males, 257 females; mean age: 58.4±12.1 years; range, 19 to 84 years) who underwent cardiac surgery were retrospectively analyzed. A series of chest X-rays taken before and after surgery were analyzed to detect diaphragmatic elevation. The patients were divided into two groups: those without diaphragmatic elevation (Group 1, n=789) and those with diaphragmatic elevation (Group 2, n=99). Diaphragmatic elevation occurred in 11.14% of patients. Of these patients, 85% recovered within a year. Patients with concomitant chronic obstructive pulmonary disease and diaphragmatic elevation exhibited prolonged mechanical ventilation compared to chronic obstructive pulmonary disease patients without elevation. The incidence of diaphragmatic elevation was higher in coronary artery bypass grafting patients compared to others (p