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Dramatic improvement after bilateral diaphragmatic plication in Charcot-Marie-Tooth disease.

Srivastava, Vivek and Pasha, Tina and Knowles, Andrew and Boothman, Bernard and Paracha, Mohammed and Kalkat, Maninder S and Zacharias, Joseph (2014) Dramatic improvement after bilateral diaphragmatic plication in Charcot-Marie-Tooth disease. The Annals of thoracic surgery, 97 (6). pp. 2177-9. ISSN 1552-6259. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids

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Official URL: http://www.annalsthoracicsurgery.org/article/S0003...

Abstract

A 52-year-old woman with Charcot-Marie-Tooth disease presented with severe dyspnea due to bilateral diaphragmatic paralysis severely compromising respiratory function. There was little in the available literature to guide us regarding management of this unusual condition, and after deliberation, we decided to treat her with a staged plication of bilateral hemidiaphragms. Postoperatively, she demonstrated very good symptomatic relief supported by objective evidence, including improvement in lung function tests. We describe our management of this difficult condition, including the surgical and anesthetic considerations, and would recommend bilateral diaphragmatic plication as an effective option in patients with this unfortunate disease.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login Ids
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Thoracic Surgery
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 12 Sep 2014 11:56
Last Modified: 12 Sep 2014 11:56
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/749

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