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KMID : 0364020090420030401
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 3 p.401 ~ p.403
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A Successful Direct Phrenic Nerve Reconstruction in the Course of Malignant Thymoma Resection
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Lee Seong-Kwang
Kim Yeon-Soo
Park Kyung-Taek
Chang Woo-Ik
Ryoo Ji-Yoon
Kim Chang-Young
Cho Seong-Joon
Choi Hyun-Min
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Abstract
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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.
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KEYWORD
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Phrenic nerve, Thymoma
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