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Presentation transcript:

Thoracoscopic release of tracheopexy stitch causing phrenic nerve paralysis in an infant Rodrigo Oyarzun, MD, Joseph V. Cotroneo, MD, Roberto M. DiDonato, MD, Mary Berry LeBoeuf, MSN, James S. Donahoo, MD, John R. McCormick, MD The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 1, Pages 188-190 (July 1996) DOI: 10.1016/S0022-5223(96)70197-6 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 Schematic left lateral view of the mediastinum after division of the atretic anterior aortic arch (upper two stumps) and of the ligamentum arteriosum (lower stump on the descending aorta). The pericardium, the heart, and the pulmonary artery are not shown. The malacic anterior wall of the trachea is suspended to the back wall of the sternum by a 3-0 nonabsorable suture. This suture crosses (and partially compresses) the left phrenic nerve, and this compression eventually causes diaphragmatic paralysis. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 188-190DOI: (10.1016/S0022-5223(96)70197-6) Copyright © 1996 Mosby, Inc. Terms and Conditions