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KMID : 0371619860020020211
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Journal of Wonkwang Medical Science
1986 Volume.2 No. 2 p.211 ~ p.219
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A Clinical Review of Phrenic Nerve Paresis with the Use of Iced Slush for Topical Hypothermia during Cardiac Surgery
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李載成/Lee, Jae Sung
孔國英/崔鍾範/崔順浩/Kong, Kik Young/Choi, Jong Bun/Choi, Soon Ho
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Abstract
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Phrenic nerve injury has been reported with the use of iced slush for topical cardiac hypothermia.
A review of the preperative and the postoperative chest roentgenograms was performed to detect phrenic nerve injury in patients undergoing cardiac operation with the use of iced slush for topical hypothermia at the Department of Thoracic and Cardiovasular Surgery, School of Medicine, Wonkwang University from January. 1985 to October, 1986.
The reviewed series included 27 patients who had undergone valve replacements and 1 patient who had undergone the repair of atrial septal defect with partial anomalous pulmonary venous drainage.
In this review, the injured sites of phrenic nerve were left in all cases and the overall incidence of left phrenic nerve paresis following op-en heart surgery was 39.3 percent.
There was no significant difference in aortic cross?clamp time between 11 patients who had postoperbtive phrenic nerve paresis(mean ACC time :125.4 min.) and 17 patients who didn´t have it (mean ACC time :124.6 min.).
The initial time that diaphragmatic paresis developed was mean 3.9 days postoperatively and the recovered time of the paresis was mean 109 days postoperatively.
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