Display options
Share it on

Echocardiography. 2021 Dec 15; doi: 10.1111/echo.15275. Epub 2021 Dec 15.

The many paths to diagnose diaphragmatic paralysis: Cardiopulmonary ultrasound on stage.

Echocardiography (Mount Kisco, N.Y.)

Alexandre Fontoura, Gonçalo Cunha, Eduarda Horta, Maria João Andrade

Affiliations

  1. Department of Intensive Care Medicine, Unidade Local de Saúde da Guarda E.P.E. - Hospital Sousa Martins, Guarda, Portugal.
  2. Department of Cardiology, Hospital Santa Cruz - Centro Hospitalar Lisboa Ocidental E.P.E., Guarda, Portugal.

PMID: 34913199 DOI: 10.1111/echo.15275

Abstract

Abnormal diaphragmatic motion (ADM) due to phrenic nerve injury is a recognized complication of cardiac surgery and several diagnostic techniques can be used to determine the diagnosis. Due to its relationship with the diaphragm, cardiac kinetics is affected by the abnormal movement of the diaphragm in cases of left hemidiaphragm paralysis. The authors present a case of diaphragmatic paralysis in which the initial diagnosis is made through echocardiography.

© 2021 Wiley Periodicals LLC.

Keywords: diaphragmatic paralysis; echocardiography; phrenic nerve damage

References

  1. Aguirre VJ, Sinha P, Zimmet A, et al. Phrenic nerve injury during cardiac surgery: mechanisms, management and prevention. Heart Lung Circ. 2013;22:895-902. - PubMed
  2. Ricoy J, Rodríguez-Núñez N, Álvarez-Dobaño JM, Toubes ME, et al. Diaphragmatic dysfunction. Pulmonology. 2019;25:223-235. - PubMed
  3. Kharma N. Dysfunction of the diaphragm: imaging as a diagnostic tool. Curr Opin Pulm Med. 2013;19:394-398. - PubMed
  4. Gil-Juanmiquel L, Gratacós M, Castilla-Fernández Y, et al. Bedside ultrasound for the diagnosis of abnormal diaphragmatic motion in children after heart surgery. Pediatr Crit Care Med. 2017;18:159-164. - PubMed
  5. Vetrugno L, Guadagnin GM, Barbariol F, et al. Ultrasound imaging for diaphragm dysfunction: a narrative literature review. J Cardiothorac Vasc Anesth. 2019;33:2525-2536. - PubMed
  6. Picano E, Scali MC, Ciampi Q, Lichtenstein D. Lung ultrasound for the cardiologist. J Am Coll Cardiol Img. 2018;11:1692-1705. - PubMed

Publication Types