Diaphragmatic Plication in a Mechanically Ventilated Patient with Phrenic Nerve Paralysis and Severe Pre-Operative Respiratory Insufficiency

Introduction: we propose the objective revision of a critical clinical case which presented so important lifethreatening complications. Presentation of Case: we present a case of patient underwent cardiovascular surgery, developing diaphragmatic paralysis and dependence on mechanical ventilation. Discussion: The patient was weaned from mechanical ventilation after diaphragmatic plication, in spite of severe pre-operative respiratory insufficiency. Conclusion: This case let us re-valuate the surgical indication of diaphragmatic plication for weaning a patient from a mechanical ventilation.