https://doi.org/10.4081/monaldi.2022.2367

Diaphragmatic paralysis post COVID-19 treated with robot-assisted plication reinforced with acellular dermal matrix: a report of two cases

Vol. 93 No. 3 (2023)
Submitted: July 5, 2022
Accepted: October 10, 2022
Published: November 2, 2022
COVID-19, diaphragm, plication, robotic surgery, SARS-CoV-2
Abstract Views: 940
PDF: 191
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Authors

Patrick Hurley
denizhurley@gmail.com
Department of Thoracic Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.
Adam Djouani
https://orcid.org/0000-0002-1038-2546
Department of Thoracic Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.
Savvas Lampridis
https://orcid.org/0000-0003-2827-5826
Department of Thoracic Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.
Andrea Billè
Department of Thoracic Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London, United Kingdom.

Coronavirus disease 2019 (COVID-19) continues to be a disease of global importance, with an increasing array of sequelae attributed to infection by the severe acute respiratory syndrome coronavirus-2. One such complication that has been rarely documented thus far is diaphragmatic dysfunction. Here, we report the cases of 2 individuals who developed diaphragmatic paralysis post COVID-19, which failed to respond to conservative management. Both patients proceeded to undergo robot-assisted thoracoscopic plication of the diaphragm reinforced with a bovine acellular dermal matrix. In both cases, there was significant improvement in symptomatology, namely dyspnoea and fatigue. We conclude that robot-assisted diaphragmatic plication should be considered for the treatment of refractory diaphragmatic paralysis post COVID-19.

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How to Cite

Hurley, Patrick, Adam Djouani, Savvas Lampridis, and Andrea Billè. 2022. “Diaphragmatic Paralysis Post COVID-19 Treated With Robot-Assisted Plication Reinforced With Acellular Dermal Matrix: A Report of Two Cases”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2367.
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