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10.5606/tgkdc.dergisi.2019.16212
Brachial plexus palsy after Nuss procedure for pectus excavatum
Min-Wook Kim1, Jin Yong Jeong1, Geol Ha2, Soo Seog Park2
1Department of Thoracic and Cardiovascular Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
2Department of Anesthesiology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
DOI : 10.5606/tgkdc.dergisi.2019.16212
Brachial plexus palsy rarely occurs after Nuss procedure for
pectus excavatum. Brachial plexus palsy after surgery may be
caused by nerve tension and compression related to surgical
positioning. In this article, we report a 21-year-old male patient of
brachial plexus palsy after Nuss procedure revealing a narrowing
of the costoclavicular space from 7.60 mm to 2.83 mm and an
increase to 4.51 mm after upper bar removal. Patient"s symptoms
were fully recovered. Our results showed that narrowing of the
costoclavicular space after Nuss procedure might trigger brachial
plexus palsy and that brachial plexus palsy may not be related to
surgical positioning.
Keywords : Brachial plexus palsy, complication, minimally invasive surgery, pectus excavatum
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