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

Submitted: July 5, 2022
Accepted: October 10, 2022
Published: November 2, 2022
Abstract Views: 794
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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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Citations

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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.