Thoracic Outlet Syndrome After the Nuss Procedure for the Correction of Extreme Pectus Excavatum
Since the Nuss procedure was introduced in 1998, many complications have been reported, but not thoracic outlet syndrome. Here we report a 13-year-old boy with pectus excavatum who had thoracic outlet syndrome develop after a modified Nuss procedure. The major modification from the original techniqu...
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Veröffentlicht in: | The Annals of thoracic surgery 2011-06, Vol.91 (6), p.1975-1977 |
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container_end_page | 1977 |
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container_issue | 6 |
container_start_page | 1975 |
container_title | The Annals of thoracic surgery |
container_volume | 91 |
creator | Lee, Seung-Hwan, MD Ryu, Se Min, MD Cho, Seong Joon, MD |
description | Since the Nuss procedure was introduced in 1998, many complications have been reported, but not thoracic outlet syndrome. Here we report a 13-year-old boy with pectus excavatum who had thoracic outlet syndrome develop after a modified Nuss procedure. The major modification from the original technique was the use of an additional bar to resolve his long, asymmetric deformity. The patient showed clinical features of brachial plexus compression. The abrupt structural and spatial changes induced by the marked elevation of the upper depressed chest might have given rise to this condition. Thoracic outlet syndrome is a possible complication of the Nuss procedure. |
doi_str_mv | 10.1016/j.athoracsur.2010.10.093 |
format | Article |
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Here we report a 13-year-old boy with pectus excavatum who had thoracic outlet syndrome develop after a modified Nuss procedure. The major modification from the original technique was the use of an additional bar to resolve his long, asymmetric deformity. The patient showed clinical features of brachial plexus compression. The abrupt structural and spatial changes induced by the marked elevation of the upper depressed chest might have given rise to this condition. Thoracic outlet syndrome is a possible complication of the Nuss procedure.</description><subject>Adolescent</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Funnel Chest - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Orthopedic Procedures - adverse effects</subject><subject>Pneumology</subject><subject>Postoperative Complications - etiology</subject><subject>Surgery</subject><subject>Thoracic Outlet Syndrome - etiology</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNksluFDEQQC1ERIbALyBfEKcevPTmC1IYhUWKkkgJZ-O2y4qH7nbwEjF_jzszJFJOnKyqelVlPRVCmJI1JbT9uF2rdOuD0jGHNSMP6TUR_AVa0aZhVcsa8RKtCCG8qkXXHKPXMW5LyEr5FTpmtKVCiG6Fft48zHEaX-Y0QsLXu9kEPwE-tQkCTreAL3KM-Cp4DSYHwNbv0xsfAujk_Iy9xWd_UoDSdlVSOZZQq3uV8vQGHVk1Rnh7eE_Qjy9nN5tv1fnl1--b0_NKN6xO1UAICENaBX1nWrB9JwgfTNPQRmjOBkGJNlS03AIBwzhjejAKupoabUEzfoI-7OfeBf87Q0xyclHDOKoZfI6yb0VNeM9JIfs9qYOPMYCVd8FNKuwkJXLRK7fySa9c9C6Vore0vjssycME5rHxn88CvD8AKmo12qBm7eITVzNGeLNwn_ccFCX3DoKM2sFcDLvFqTTe_c9vPj0bokc3u7L3F-wgbn0Oc1EuqYxMEnm9nMNyDbTcQS1Yy_8CAJez-g</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Lee, Seung-Hwan, MD</creator><creator>Ryu, Se Min, MD</creator><creator>Cho, Seong Joon, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Thoracic Outlet Syndrome After the Nuss Procedure for the Correction of Extreme Pectus Excavatum</title><author>Lee, Seung-Hwan, MD ; Ryu, Se Min, MD ; Cho, Seong Joon, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c524t-b00e9d06ae87d6ef87903bd55159c32b910cd1963fe0ed2322cbdae741dcfec23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Anesthesia. 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Miscellaneous</topic><topic>Funnel Chest - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Orthopedic Procedures - adverse effects</topic><topic>Pneumology</topic><topic>Postoperative Complications - etiology</topic><topic>Surgery</topic><topic>Thoracic Outlet Syndrome - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Seung-Hwan, MD</creatorcontrib><creatorcontrib>Ryu, Se Min, MD</creatorcontrib><creatorcontrib>Cho, Seong Joon, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Seung-Hwan, MD</au><au>Ryu, Se Min, MD</au><au>Cho, Seong Joon, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracic Outlet Syndrome After the Nuss Procedure for the Correction of Extreme Pectus Excavatum</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>91</volume><issue>6</issue><spage>1975</spage><epage>1977</epage><pages>1975-1977</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Since the Nuss procedure was introduced in 1998, many complications have been reported, but not thoracic outlet syndrome. 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subjects | Adolescent Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Cardiothoracic Surgery Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Funnel Chest - surgery Humans Male Medical sciences Minimally Invasive Surgical Procedures - adverse effects Orthopedic Procedures - adverse effects Pneumology Postoperative Complications - etiology Surgery Thoracic Outlet Syndrome - etiology |
title | Thoracic Outlet Syndrome After the Nuss Procedure for the Correction of Extreme Pectus Excavatum |
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