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

Victor J. Aguirre; Priyanka Sinha; Adam Zimmet; Geraldine A. Lee; Lachlan Kwa; Franklin Rosenfeldt

doi:10.1016/j.hlc.2013.06.010

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

Victor J. Aguirre
, Priyanka Sinha
, Adam Zimmet
, Geraldine A. Lee
, Lachlan Kwa
, Franklin Rosenfeldt

Monash University

Research output: Contribution to journal › Review article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	895-902
Number of pages	8
Journal	Heart Lung and Circulation
Volume	22
Issue number	11
DOIs	https://doi.org/10.1016/j.hlc.2013.06.010
Publication status	Published - Nov 2013
Externally published	Yes

Keywords

Cold cardioplegia
Diaphragmatic paralysis
Ice slush
Internal mammary artery
Pericardiacophrenic artery
Phrenic nerve

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10.1016/j.hlc.2013.06.010

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

abstract = "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.",

keywords = "Cold cardioplegia, Diaphragmatic paralysis, Ice slush, Internal mammary artery, Pericardiacophrenic artery, Phrenic nerve",

author = "Aguirre, \{Victor J.\} and Priyanka Sinha and Adam Zimmet and Lee, \{Geraldine A.\} and Lachlan Kwa and Franklin Rosenfeldt",

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doi = "10.1016/j.hlc.2013.06.010",

language = "English",

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T2 - Mechanisms, Management and Prevention

AU - Aguirre, Victor J.

AU - Sinha, Priyanka

AU - Zimmet, Adam

AU - Lee, Geraldine A.

AU - Kwa, Lachlan

AU - Rosenfeldt, Franklin

PY - 2013/11

Y1 - 2013/11

N2 - 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.

AB - 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.

KW - Cold cardioplegia

KW - Diaphragmatic paralysis

KW - Ice slush

KW - Internal mammary artery

KW - Pericardiacophrenic artery

KW - Phrenic nerve

UR - https://www.scopus.com/pages/publications/84887639061

U2 - 10.1016/j.hlc.2013.06.010

DO - 10.1016/j.hlc.2013.06.010

M3 - Review article

C2 - 23948287

AN - SCOPUS:84887639061

SN - 1443-9506

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EP - 902

JO - Heart Lung and Circulation

JF - Heart Lung and Circulation

IS - 11

ER -

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

Abstract

Keywords

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