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European Journal of Cardio-Thoracic Surgery, Vol 8, 153-154, Copyright © 1994 by European Association for Cardio-thoracic Surgery

ARTICLES

Prevention of a phrenic nerve palsy following left anterior mediastinotomy

AF Merrick and NJ Odom
Department of Cardiothoracic Surgery, Manchester Royal Infirmary, UK.

A left phrenic nerve palsy was observed following left anterior mediastinotomy performed for staging of a left upper lobe tumour. Since no evidence of mediastinal spread of the tumour was found, a left upper lobectomy was subsequently performed. Oedema (but no evidence of tumour) was seen around the phrenic nerve in the region of the previous mediastinotomy. As a result of this experience we have altered our technique of left anterior mediastinotomy.




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Copyright © 1994 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.