{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:47:24Z","timestamp":1774572444853,"version":"3.50.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T00:00:00Z","timestamp":1441670400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diaphragmatic paralysis following phrenic nerve injury is a major complication following congenital cardiac surgery. In contrast to unilateral paralysis, patients with bilateral diaphragmatic paralysis present a higher risk group, require different management methods, and have poorer prognosis. We retrospectively analysed seven patients who had bilateral diaphragmatic paralysis following congenital heart surgery during the period from July, 2006 to July, 2014. Considerations were given to the time to diagnosis of diaphragm paralysis, total ventilator days, interval after plication, and lengths of ICU and hospital stays. The incidence of bilateral diaphragmatic paralysis was 0.68% with a median age of 2 months (0.6\u201312 months). There was one neonate and six infants with a median weight of 4 kg (3\u20137 kg); five patients underwent unilateral plication of the paradoxical diaphragm following recovery of the other side, whereas the remaining two patients who did not demonstrate a paradoxical movement were successfully weaned from the ventilator following recovery of function in one of the diaphragms. The median ventilation time for the whole group was 48 days (20\u201390 days). The median length of ICU stay was 46 days (24\u2013110 days), and the median length of hospital stay was 50 days (30\u2013116 days). None of the patients required tracheostomy for respiratory support and there were no mortalities, although all the patients except one developed ventilator-associated pneumonia. The outcome of different management options for bilateral diaphragmatic paralysis following surgery for CHD is discussed.<\/jats:p>","DOI":"10.1017\/s1047951115001559","type":"journal-article","created":{"date-parts":[[2015,9,8]],"date-time":"2015-09-08T11:33:59Z","timestamp":1441712039000},"page":"927-930","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Bilateral diaphragmatic palsy after congenital heart surgery: management options"],"prefix":"10.1017","volume":"26","author":[{"given":"Pradeep","family":"Bhaskar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reyaz A.","family":"Lone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Sallehuddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiju","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhlaque N.","family":"Bhat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3085-021X","authenticated-orcid":false,"given":"Muhammed R. K.","family":"Rahmath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,9,8]]},"reference":[{"key":"S1047951115001559_ref4","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/S0022-5223(19)35943-4","article-title":"Bilateral phrenic nerve paralysis after the Mustard procedure. Experience with four cases and recommendations for management","volume":"92","author":"Stewart","year":"1986","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951115001559_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2004.10.002"},{"key":"S1047951115001559_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000227593.63141.36"},{"key":"S1047951115001559_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezt110"},{"key":"S1047951115001559_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.04.143"},{"key":"S1047951115001559_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-006-1663-2"},{"key":"S1047951115001559_ref1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1222445"},{"key":"S1047951115001559_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70190-X"},{"key":"S1047951115001559_ref16","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2008.187096"},{"key":"S1047951115001559_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2010.00431.x"},{"key":"S1047951115001559_ref12","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.3.786"},{"key":"S1047951115001559_ref10","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S0022-5223(19)39570-4","article-title":"Clinical implications of postoperative unilateral phrenic nerve paralysis","volume":"76","author":"Mickell","year":"1978","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S1047951115001559_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.09.031"},{"key":"S1047951115001559_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.06.027"},{"key":"S1047951115001559_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-006-0207-5"},{"key":"S1047951115001559_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181ee2ef1"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951115001559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T03:14:56Z","timestamp":1599534896000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951115001559\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,8]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["S1047951115001559"],"URL":"https:\/\/doi.org\/10.1017\/s1047951115001559","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,8]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2015\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}