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[Brachial plexus neuropathy following open-heart surgery]
Osamu Tajiri1, Takeshi Tateda, Haruhisa Sugihara
1Department of Anesthesiology, St. Marianna University School of Medicine, Kawasaki 216-8511.
Masui. the Japanese Journal of Anesthesiology
|May 27, 2004
Summary
This case report highlights a rare instance of iatrogenic brachial plexus injury following open-heart surgery. Prompt diagnosis and treatment led to a full recovery within three months.
Area of Science:
- Cardiology
- Neurology
- Surgical Complications
Background:
- A 64-year-old woman with rheumatoid arthritis underwent surgery for atrial septal defect (ASD) and tricuspid valve regurgitation.
- Preoperative management included methotrexate for rheumatoid arthritis and a challenging pulmonary artery catheter insertion.
Observation:
- Postoperatively, the patient developed right arm weakness and sensory deficits in the shoulder area.
- Neurological examination indicated marked deltoid and biceps brachialis muscle weakness.
Findings:
- Iatrogenic brachial plexus injury was diagnosed as the cause of the patient's symptoms.
- Potential causes include surgical positioning, sternotomy, or catheterization-related trauma.
Implications:
- This case underscores the importance of vigilant monitoring for neurological complications after cardiac surgery.
- Early recognition and intervention, including physical therapy, can lead to favorable outcomes in iatrogenic brachial plexus injuries.