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CASE REPORT
Surgical correction of acquired unilateral diaphragmatic paralysis by plication technique
1
Second Department of Propedeutic Surgery, National and Kapodistrian University of Athens Medical School, “Laiko” General Hospital, Athens, Greece
2
Respiratory Intensive Care Unit, Athens Chest Hospital “Sotiria”, Athens, Greece
3
Department of Pathophysiology, National and Kapodistrian University of Athens Medical School, “Laiko” General Hospital, Athens, Greece
4
Respiratory Department, “Laiko” General Hospital, Athens, Greece
Corresponding author
Periklis Tomos
Thoracic Surgery, Second Department of Propedeutic Surgery, University of Athens Medical School, “Laiko” General Hospital 17 Agiou Thoma St., 11527, Athens, Greece
Thoracic Surgery, Second Department of Propedeutic Surgery, University of Athens Medical School, “Laiko” General Hospital 17 Agiou Thoma St., 11527, Athens, Greece
Pneumon 2013;26(2):179–183
KEYWORDS
ABSTRACT
Acquired diaphragmatic paralysis may compromise lung mechanics and cause dyspnoea and/or lead to respiratory failure in the long term. A 76 year-old female patient presented with progressive worsening of dyspnoea and spirometric indices, and imaging studies revealed elevation of the left hemidiaphragm. Surgical correction was carried out by diaphragmatic plication technique, through a mini-thoracotomy approach. Immediate alleviation (within days) of her symptoms was observed, while improvement of radiological and pulmonary function tests occurred some weeks later.
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