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Right Phrenic Nerve Palsy Post Coronary Artery Bypass Grafting (CABG) without Harvesting Right Internal Mammary Artery (RIMA): A Rare and Unexpected Complication

• 2015
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Publication Information
Authors Mohamed A Alassal, Nouf F Baker , Ayman M Shaalan, Sumanth N Raghunayakula , Eman Elwakeel and Hany Elrakhawy
Keywords Not Available
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publication.type International
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Abstract
Phrenic nerve palsy has many causes, and can be caused by lesions
anywhere along its course, as it travels from the neck to pierce the
diaphragm. Нe epidemiology will therefore match that of the
underlying etiology [1].
Most of the cases are idiopathic or even thought to be post viral.
Common causes include: tumors like bronchogenic carcinoma or
neuroblastoma, trauma like post thoracic or neck surgeries or
penetrating injuries, neuromuscular diseases, inflDmmDtion direct
compression from aortic aneurysm or cervical osteophytes, toxins like
some spider or lizard toxins, alcoholic neuropathy, or endocrinal
causes like hypothyroidism or diabetes mellitus (diabetic autonomic
neuropathy) which enhances and exaggerates the eوٴect of the other
factors [2-4]