Early diaphragmatic plication after cardiac surgery: a case report in an obese patient
Abstract Background Diaphragmatic plication to help ventilation weaning of an adult obese patient after cardiac surgery is very uncommon. Diaphragm paralysis is usually treated with conservative measures and ventilator support, after which surgical management is considered after months of medical mo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-018-0780-z |
| _version_ | 1811342634956881920 |
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| author | Valérie Lafrenière-Bessi Frédéric Jacques Richard Baillot Jean Bussières Paola A. Ugalde Stephan Langevin |
| author_facet | Valérie Lafrenière-Bessi Frédéric Jacques Richard Baillot Jean Bussières Paola A. Ugalde Stephan Langevin |
| author_sort | Valérie Lafrenière-Bessi |
| collection | DOAJ |
| description | Abstract Background Diaphragmatic plication to help ventilation weaning of an adult obese patient after cardiac surgery is very uncommon. Diaphragm paralysis is usually treated with conservative measures and ventilator support, after which surgical management is considered after months of medical monitoring. Case presentation We report the case of a morbidly obese patient to whom ventilation weaning was unsuccessful following coronary artery bypass graft operation with mitral valve replacement. A de novo right hemidiaphragm elevation was seen on the chest X-ray. Diaphragmatic plication was performed promptly to treat severe respiratory insufficiency and generated favorable outcomes. Conclusions Early diaphragmatic plication could be considered in the postoperative period of cardiothoracic surgery to facilitate management and ventilation weaning in the context of de novo diaphragm paralysis. |
| first_indexed | 2024-04-13T19:14:16Z |
| format | Article |
| id | doaj.art-251283544d764bdb9b95110e5952e8a4 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T19:14:16Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-251283544d764bdb9b95110e5952e8a42022-12-22T02:33:43ZengBMCJournal of Cardiothoracic Surgery1749-80902018-09-011311310.1186/s13019-018-0780-zEarly diaphragmatic plication after cardiac surgery: a case report in an obese patientValérie Lafrenière-Bessi0Frédéric Jacques1Richard Baillot2Jean Bussières3Paola A. Ugalde4Stephan Langevin5Institut universitaire de cardiologie et de pneumologie de Québec, Multidisciplinary Department of Cardiology, Service of Cardiac Surgery, Université LavalInstitut universitaire de cardiologie et de pneumologie de Québec, Multidisciplinary Department of Cardiology, Service of Cardiac Surgery, Université LavalInstitut universitaire de cardiologie et de pneumologie de Québec, Multidisciplinary Department of Cardiology, Service of Cardiac Surgery, Université LavalInstitut universitaire de cardiologie et de pneumologie de Québec, Department of Anesthesia, Université LavalInstitut universitaire de cardiologie et de pneumologie de Québec, Multidisciplinary Department of Respirology, Service of Thoracic Surgery, Université LavalInstitut universitaire de cardiologie et de pneumologie de Québec, Department of Specialized Medecine, Service of Intensive Care Medicine, Université LavalAbstract Background Diaphragmatic plication to help ventilation weaning of an adult obese patient after cardiac surgery is very uncommon. Diaphragm paralysis is usually treated with conservative measures and ventilator support, after which surgical management is considered after months of medical monitoring. Case presentation We report the case of a morbidly obese patient to whom ventilation weaning was unsuccessful following coronary artery bypass graft operation with mitral valve replacement. A de novo right hemidiaphragm elevation was seen on the chest X-ray. Diaphragmatic plication was performed promptly to treat severe respiratory insufficiency and generated favorable outcomes. Conclusions Early diaphragmatic plication could be considered in the postoperative period of cardiothoracic surgery to facilitate management and ventilation weaning in the context of de novo diaphragm paralysis.http://link.springer.com/article/10.1186/s13019-018-0780-zDiaphragmatic plicationVentilation weaningCardiothoracic surgery |
| spellingShingle | Valérie Lafrenière-Bessi Frédéric Jacques Richard Baillot Jean Bussières Paola A. Ugalde Stephan Langevin Early diaphragmatic plication after cardiac surgery: a case report in an obese patient Journal of Cardiothoracic Surgery Diaphragmatic plication Ventilation weaning Cardiothoracic surgery |
| title | Early diaphragmatic plication after cardiac surgery: a case report in an obese patient |
| title_full | Early diaphragmatic plication after cardiac surgery: a case report in an obese patient |
| title_fullStr | Early diaphragmatic plication after cardiac surgery: a case report in an obese patient |
| title_full_unstemmed | Early diaphragmatic plication after cardiac surgery: a case report in an obese patient |
| title_short | Early diaphragmatic plication after cardiac surgery: a case report in an obese patient |
| title_sort | early diaphragmatic plication after cardiac surgery a case report in an obese patient |
| topic | Diaphragmatic plication Ventilation weaning Cardiothoracic surgery |
| url | http://link.springer.com/article/10.1186/s13019-018-0780-z |
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