Bilateral diaphragmatic paresis following pediatric liver transplantation.

Autor:	Olmscheid J; Midwestern University, Glendale, AZ, USA.; Arizona College of Osteopathic Medicine, Glendale, AZ, USA., Molero H; Division of Pediatric Pulmonology, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA., Gershan W; Division of Pediatric Pulmonology, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA., Demirel N; Division of Pediatric Pulmonology, University of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2017 Jul 16; Vol. 5, pp. 2050313X17719214. Date of Electronic Publication: 2017 Jul 16 (Print Publication: 2017).
DOI:	10.1177/2050313X17719214
Abstrakt:	Background: Although diaphragm paresis or paralysis is fairly common following cardiac procedures; it is a less common complication following liver transplantation. Unilateral diaphragm paresis, usually right sided, has been described following liver transplantation in adults and has been rarely described in children. Purpose: Diaphragmatic injury following LT is often unrecognized and is typically unilateral, involving the right hemidiaphragm. Bilateral diaphragm dysfunction following liver transplantation in children is a rare complication. Methods: This is a case report of bilateral diaphragm paresis in a young child following a repeat liver transplantation. Conclusion: Bilateral diaphragm paresis following liver transplantation in children is rare and spontaneous resolution is possible. A conservative approach with noninvasive ventilation as a first line treatment to allow the diaphragm to regain function should be considered. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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