Ipsilateral Diaphragmatic Motion and Lung Function in Long-Term Pneumonectomy Patients  Paula Ugalde, MD, Santiago Miro, MD, Steve Provencher, MD, Mathieu.

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Ipsilateral Diaphragmatic Motion and Lung Function in Long-Term Pneumonectomy Patients  Paula Ugalde, MD, Santiago Miro, MD, Steve Provencher, MD, Mathieu Quevillon, MD, Luc Chau, MD, Deborah R. Deslauriers, RN, CCRP, Yves Lacasse, MD, Sylvie Ferland, MD, Serge Simard, MSc, Jean Deslauriers, MD  The Annals of Thoracic Surgery  Volume 86, Issue 6, Pages 1745-1752 (December 2008) DOI: 10.1016/j.athoracsur.2008.05.081 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Postoperative lung function according to postoperative ipsilateral diaphragmatic motion. Patients with preserved diaphragmatic function had less alteration in postoperative forced expiratory volume in 1 second (FEV1) than patients with abnormal diaphragm motion. There was, however, no difference in FEV1 between patients with immobile diaphragm and patients whose diaphragm had a paradoxical motion. Comparisons among means were performed using analysis of variance followed by Fisher's PLSD test. (PLSD = procedure of least significant difference.) The Annals of Thoracic Surgery 2008 86, 1745-1752DOI: (10.1016/j.athoracsur.2008.05.081) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The anatomy of the diaphragm, which should be viewed as a single muscular unit with two halves. Modified from Graeber and Nazim [30], with permission from Elsevier Inc. The Annals of Thoracic Surgery 2008 86, 1745-1752DOI: (10.1016/j.athoracsur.2008.05.081) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Diagram showing (A) the right hilum and phrenic nerve (arrow), and (B) the left hilum and phrenic nerve (arrow). Modified from Warren and Milloy [31], with permission from Elsevier. The Annals of Thoracic Surgery 2008 86, 1745-1752DOI: (10.1016/j.athoracsur.2008.05.081) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions