Abstract
Letters17 September 2002Permanent Paralysis of the Right Phrenic NerveJames E. Reeves Jr., MD and William F. Anderson, MD, MPHJames E. Reeves Jr., MDCancer Care Associates; Oklahoma City, OK 73120National Cancer Institute; Bethesda, MD 20892-7317Search for more papers by this author and William F. Anderson, MD, MPHCancer Care Associates; Oklahoma City, OK 73120National Cancer Institute; Bethesda, MD 20892-7317Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-6-200209170-00034 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Although right phrenic nerve paralysis is an acknowledged immediate complication of implanted venous access portals, it has only recently been recognized as a late sequela of this device. To a growing list of similar occurrences, we add this case report of a 44-year-old woman with infiltrating ductal carcinoma of the breast, treated with 5-fluorouracil, cyclophosphamide, and doxorubicin chemotherapy as a continuous 48-hour infusion through a Hickman catheter. Eighty days after successful implantation of a right subclavian venous catheter, the patient developed right shoulder pain. Plain chest radiography and venography documented a widened mediastinum, raised right hemidiaphragm, and ...
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