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Chest, Vol 105, 1268-1269, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Fatal bilateral phrenic nerve injury following hypothermic open heart surgery

H Raffa, MT Kayali, K al-Ibrahim and L Mimish
Department of Cardiac Surgery, King Fahd Heart Center, Jeddah, Saudi Arabia.

A 30-year-old woman underwent mitral valvotomy for severe mitral stenosis. Extracorporeal circulation by means of cardiopulmonary bypass and systemic hypothermia, in addition to local topical hypothermia using iced saline solution and slushed ice, was used. Fatal bilateral phrenic nerve paralysis with inability to wean her from the ventilator occurred. This report is presented to illustrate the pathophysiology, pathology, and means of possible prevention of such a potentially highly fatal injury following hypothermic open heart surgery.


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[Abstract] [Full Text] [PDF]


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Copyright © 1994 by the American College of Chest Physicians.