정중 흉골절개술 이후 발생한 상완신경총 손상 2예
Two Cases of Brachial Plexus Injury Following Median Sternotomy
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초록
Brachial plexus injury following median sternotomy is a rare complication and has not been reported in Korea yet. Traction or compression secondary to the rotation of the first rib with excessive retraction of rib cage is a commonly accepted pathophysiologic mechanism of this rare condition. We report two patients who developed a brachial plexopathy following median sternotomy (a case of lower trunk lesion and a case of medial cord lesion, respectively). Close observation of any neurologic symptoms or signs and immediate referring to electrodiagnostic physicians are prerequisite for early detection of this condition in patients who underwent median sternotomy for open heart surgery.
Abstract
Brachial plexus injury following median sternotomy is a rare complication and has not been reported in Korea yet. Traction or compression secondary to the rotation of the first rib with excessive retraction of rib cage is a commonly accepted pathophysiologic mechanism of this rare condition. We report two patients who developed a brachial plexopathy following median sternotomy (a case of lower trunk lesion and a case of medial cord lesion, respectively). Close observation of any neurologic symptoms or signs and immediate referring to electrodiagnostic physicians are prerequisite for early detection of this condition in patients who underwent median sternotomy for open heart surgery.
참고문헌 (10)
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