the association of bilateral diaphragmatic paralysis and scapular girdle paralysis is a rare complication after aortic aneurysm correction. such a complication induces to a severe form of hypercapnic respiratory failure in which the success of weaning from mechanical ventilation depends on the capacity of remaining respiratory muscles to compensate extra respiratory work load. intensive respiratory physiotherapy with muscle training, hydroelectrolityc inbalances correction, treatment of ventilation associated infections and a well planned nutritional support were essential to the successful weaning of mechanical ventilation.
