A Novel Sonographic Sign of Paradoxical Movement of Diaphragmatic Paralysis in Pediatric Patients After Cardiovascular Surgery

Overview

Journal Radiol Case Rep

Publisher Elsevier

Specialty Radiology

Date 2021 Feb 4

PMID 33537108

Citations 1

Authors

Takahiro Hosokawa

Yutaka Tanami

Yumiko Sato

Koji Nomura

Eiji Oguma

Affiliations

Soon will be listed here.

Abstract

We demonstrate a quick sliding of the descending aorta toward the unaffected side of the diaphragm as a new sonographic finding during breathing in pediatric patients with diaphragmatic paralysis. We present three pediatric patients with diaphragmatic paralysis after cardiovascular surgery with this new sonographic finding. This finding consisted of paradoxical movement of the diaphragm as shown by fluorography. This sonographic sign was only obtained by a B-mode scan in the subxiphoid plane, was easily demonstrated at the patient's bedside, and may be useful for diagnosing severe diaphragmatic paralysis.

Citing Articles

Diagnostic Utility of Point-of-Care Ultrasound in the Pediatric Cardiac Intensive Care Unit.

Persson J, Kim J, Good R Curr Treat Options Pediatr. 2022; 8(3):151-173.

PMID: 36277259 PMC: 9264295. DOI: 10.1007/s40746-022-00250-1.

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