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Breathing Difficulties

After open heart surgery five years ago for repair of my mitral valve, I began experiencing difficulty breathing – particularly when lying down. A chest x-ray indicated that my left diaphragm was “paralyzed”. I have two questions:

1.) Is it obvious that this “paralyzed” diaphragm is the cause of difficulty breathing?
2.) What procedures are available to determine if the cause of my breathing problem can be corrected? For example, I just read of President Bill Clinton’s similar symptoms after heart surgery, and it was determined he had scar tissue/adhesions as a result of the surgery causing one of his diaphragms to appear “paralyzed”. After removal of the adhesions, his breathing was restored. How were his adhesions diagnosed?

Thanks.        John
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