Primary Paralyzed Diaphragm

Author: Mark Allen, MD
Institution: Mayo Clinic
Date Reviewed: January 2014
Learning Domain: General Thoracic
Learning Objective: Diagnosis and Management of Primary Paralyzed Diaphragm
PowerPoint File: Primary Paralyzed Diaphragm

Discussion Points

• Interpretation of Diagnostic tests
  • Impact of BMI?
• Therapeutic options
  • Plication, rehab, Phrenic nerve stimulation,  Do nothing
• Timing of intervention
  • Wait 6 months?
• What if now on a ventilator ?
• Techniques
  • Open. Plicate, VATS? , Transabdominal , Robotic
• Impact on PFT’s

Learning Points

• Idiopathic Diaphragmatic paralysis rare
• Surgical results variable
• Timing  of intervention may be important 
• Body habitus may impact results
• Impact of post op LFT’s variable