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KMID : 1011920160170020108
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International Journal of Arrhythmia
2016 Volume.17 No. 2 p.108 ~ p.111
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Delayed Onset Transient Diaphragmatic Paralysis after Pacemaker Implantation
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Kim So-Yeon
Park Jong-Sung
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Abstract
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A 77-year-old woman presented with exertional dyspnea six days after left pectoral pacemaker implantation. Chest radiography at presentation showed that her left diaphragm was elevated when compared to earlier films. A fluoroscopic sniff test confirmed left diaphragmatic paralysis. Thoracic computed tomography did not reveal any major vascular or lung parenchymal injury; however, phrenic nerve injury on direct needle puncture during the original surgery was suspected. The patient’s small body size may have increased the risk of this injury. Delayed-onset unilateral diaphragmatic paralysis appears to be a rare complication of cardiac device implantation.
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KEYWORD
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Pacemaker, Diaphragmatic Paralysis, Phrenic nerve
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