Jeffry R R, Fabri B M, Fox M A
Regional Adult Cardiothoracic Unit, Broadgreen Hospital, Liverpool.
Thorax. 1988 Nov;43(11):941-2. doi: 10.1136/thx.43.11.941.
A case of vocal cord paralysis following mobilisation of the internal mammary artery is described. Of the various possible mechanisms, the most likely in this case is damage to the vagus nerve in the root of the neck, where it passes close to the origin of the internal mammary artery. Diathermy may have caused the damage, and this may be avoided by using a disposable automatic clip applier on any branches of the mammary artery in the area.
本文描述了一例因胸廓内动脉游离术后出现声带麻痹的病例。在各种可能的机制中，该病例最可能的原因是颈部根部的迷走神经受损，此处迷走神经靠近胸廓内动脉的起始处。电灼可能导致了这种损伤，通过在该区域对胸廓内动脉的任何分支使用一次性自动施夹器可避免这种情况。
