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
Hauptverfasser: Lee, Seung-Hwan, MD, Ryu, Se Min, MD, Cho, Seong Joon, MD
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container_end_page 1977
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
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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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