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Ann Thorac Surg. 1998 Mar;65(3):842-4.

Minimally invasive diaphragm plication in an infant.

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  • 1Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.


We report the use of video-assisted thoracic surgery to plicate the diaphragm after phrenic nerve injury associated with an operation for congenital heart disease. Right diaphragm paresis developed in a cyanotic newborn girl with pulmonary atresia and intact ventricular septum after a right modified Blalock-Taussig shunt. Diaphragm plication was performed endoscopically and the patient recovered. Refinement of technique and instrumentation may allow wider application of video-assisted thoracoscopic plication of the diaphragm in neonatal and pediatric patients.

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