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Am J Perinatol 2001; 18(8): 459-464
DOI: 10.1055/s-2001-18793
ORIGINAL ARTICLES

Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Unilateral Diaphragmatic Palsy in Association with a Subclavian Vein Thrombus in a Very-Low- Birth-Weight Infant

Marita A. D'Netto1 , Jean Bender1 , R. T. Brown2 , Victor C. Herson1
  • 1Division of Neonatology, Connecticut Children's Medical Center, Hartford, Connecticut; University of Connecticut School of Medicine, Farmington, Connecticut
  • 2Department of Pediatrics and Pediatric Radiology, Connecticut Children's Medical Center, Hartford, Connecticut; University of Connecticut School of Medicine, Farmington, Connecticut
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Publication History

Publication Date:
04 December 2001 (online)

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ABSTRACT

Phrenic nerve paralysis due to iatrogenic injury is not uncommon in neonates. We report an unusual case of acquired unilateral paralysis of the diaphragm in a very-low-birth-weight infant, associated with a thrombus secondary to percutaneous subclavian vein catheterization. Conservative management resulted in complete resolution of the paralyzed diaphragm.

KEYWORD

Diaphragm paralysis - very low birth weight infant - percutaneous line catheter - subclavian vein thrombosis

REFERENCES

  • 1 Islek I, Akpolat T, Danaci M. Phrenic nerve palsy caused by subclavian vein catheterization.  Nephrol Dial Transplant . 1998;  13 1023-1025
    PubMedGoogle Scholar
  • 2 Pleasure J, Shashikumar V L. Phrenic nerve damage in the tiny infant during vein cannulation for parenteral nutrition.  Am J Perinatol . 1990;  7 136-138
    PubMedGoogle Scholar
  • 3 Lam D S, Ramos A D, Platzker A CG, Warburton D, Keens T G. Paralysis of diaphragm complicating central venous alimentation.  Am J Dis Child . 1981;  135 382
    PubMedGoogle Scholar
  • 4 Affatato A, Villagra F, De Leon P J, Gomez R, Checa S L, Vellibre D. Phrenic nerve paralysis following pediatric cardiac surgery: role of diaphragmatic plication.  J Cardiovasc Surg . 1988;  29 606-609
    PubMedGoogle Scholar
  • 5 Odita J C, Khan A S, Dincsoy M, Masoud A, Ammari A. Neonatal phrenic paralysis resulting from intercostal drainage of pneumothorax.  Pediatr Radiol . 1992;  22 379-381
    PubMedGoogle Scholar
  • 6 Massicotte M P, Dix D, Mongale P, Adams M, Andrew M. Central venous catheter related thrombosis in children: analysis of the Canadian registry of venous thromboembolic complications.  J Pediatr . 1998;  133 770-776
    CrossrefPubMedGoogle Scholar
  • 7 Langer J C, Filler R M, Coles J, Edmonds J F. Plication of the diaphragm for infants and young children with peripheral nerve paralysis.  J Pediatr Surg . 1988;  23 749-751
    PubMedGoogle Scholar
  • 8 Schwartz M Z, Filler R M. Plication of the diaphragm for symptomatic peripheral nerve paralysis.  J Pediatr Surg . 1978;  13 259-263
    CrossrefPubMedGoogle Scholar
  • 9 Haller Jr A J, Pickard L R, Tepas J J, Rogers M C, Robotham J L, Shorter N. Management of diaphragmatic paralysis in infants with special emphasis on selection of patients for operative plication.  J Pediatr Surg . 1979;  14 779-785
    PubMedGoogle Scholar
  • 10 Shoemaker R, Palmer G, Brown J W, King H. Aggressive treatment of acquired paralysis in infants and small children.  Ann Thorac Surg . 1981;  32 250-259
    PubMedGoogle Scholar
      >