Korean J Thorac Cardiovasc Surg.
2009 Jun;42(3):401-403.
A Successful Direct Phrenic Nerve Reconstruction in the Course of Malignant Thymoma Resection
- Affiliations
-
- 1Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Korea. kimyns@paik.ac.kr
- 3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kangwon National University, Ilsan, Korea.
- 4Department of Cardiology Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Korea.
Abstract
- We performed nerve resection and reconstruction of the phrenic nerve in a 63-year-old female patient who underwent complete resection of a malignant thymoma. The left phrenic nerve was completely encased by the tumor for 2 cm. Thus, a 3 cm long piece of phrenic nerve with 5 mm margins of safety on each end was resected and it was directly anastomosed in an end-to-end fashion. At 11 months after reconstruction, fluoroscopy demonstrated adequate and symmetric motion of both hemidiaphragms, which indicated the restoration of phrenic nerve function. The pulmonary function test results were comparable to those obtained preoperatively at 30 months. There has been no evidence of recurrence at the recent follow up visits.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Phrenic Nerve Reconstruction During Anterior Mediastinal Tumor Resection
- Phrenic nerve palsy following coracoid infraclavicular brachial plexus block
- Reconstruction of the sciatic nerve using bilateral vascularized sural nerve grafts: a case report
- Phrenic Nerve Conduction Studies in Healthy Korean
- Phrenic Nerve Paralysis following Interscalene Bracheal Plexus Block
