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Successful immediate phrenic nerve reconstruction during mediastinal tumor resection.

doi:10.1067/mtc.2001.117274 U nilateral phrenic nerve paralysis is a common lesion in cardiothoracic surgery that usually results in minimal morbidity but may be symptomatic in patients with borderline lung function.1,2 In such symptomatic cases plication of the paralyzed hemidiaphragm has been previously suggested to alleviate dyspnea by reducing paradoxic movement of the paralyzed hemidiaphragm.3 We believed, however, that optimal treatment of diaphragmatic dysfunction caused by tumor infiltration of the phrenic nerve might be immediate microsurgical phrenic nerve reconstruction after curative resection of the tumor. To our knowledge, this strategy and its feasibility have not been described previously. We here report on our initial experience with this concept.