Bilateral Diaphragmatic Plication in the Setting of Bilateral Sequential Lung Transplantation

Diaphragmatic paralysis can lead to significant ventilatory impairment, especially if associated with underlying lung disease. Adequate ventilatory mechanics are essential for good outcomes after lung transplantation. We report a case of bilateral diaphragmatic plication at the time of double lung transplantation as an attempt to improve posttransplant ventilation, with good outcome.