Abstract
Five patients are described with brachial plexus injuries complicating median sternotomy for cardiac surgery. The lower roots (medial cord) of the plexus were most affected and in some cases the lesions were bilateral. Pain was a prominent feature and although motor and sensory symptoms both occurred, motor signs were more prominent than objective sensory loss. Recovery was protracted and sometimes incomplete. Traction or compression of the plexus (or both) are the major possible mechanisms of injury; our experience and that of others suggests that traction is the more probable mechanism.
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Selected References
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- Davis D. H., Onofrio B. M., MacCarty C. S. Brachial plexus injuries. Mayo Clin Proc. 1978 Dec;53(12):799–807. [PubMed] [Google Scholar]
- Honet J. C., Raikes J. A., Kantrowitz A., Pursel S. E., Rubenfire M. Neuropathy in the upper extremity after open-heart surgery. Arch Phys Med Rehabil. 1976 Jun;57(6):264–267. [PubMed] [Google Scholar]
- JACKSON L., KEATS A. S. MECHANISM OF BRACHIAL PLEXUS PALSY FOLLOWING ANESTHESIA. Anesthesiology. 1965 Mar-Apr;26:190–194. doi: 10.1097/00000542-196503000-00009. [DOI] [PubMed] [Google Scholar]
- Keates J. R., Innocenti D. M., Ross D. N. Mononeuritis multiplex: a complication of open-heart surgery. J Thorac Cardiovasc Surg. 1975 May;69(5):816–819. [PubMed] [Google Scholar]
- Kirsh M. M., Magee K. R., Gago O., Kahn D. R., Sloan H. Brachial plexus injury following median sternotomy incision. Ann Thorac Surg. 1971 Apr;11(4):315–319. doi: 10.1016/s0003-4975(10)65455-0. [DOI] [PubMed] [Google Scholar]
- Kwaan J. H., Rappaport I. Postoperative brachial plexus palsy. A sytdy on the mechanism. Arch Surg. 1970 Nov;101(5):612–615. doi: 10.1001/archsurg.1970.01340290068015. [DOI] [PubMed] [Google Scholar]
- Parks B. J. Postoperative peripheral neuropathies. Surgery. 1973 Sep;74(3):348–357. [PubMed] [Google Scholar]
- Po B. T., Hansen H. R. Iatrogenic brachial plexus injury: a survey of the literature and of pertinent cases. Anesth Analg. 1969 Nov-Dec;48(6):915–922. [PubMed] [Google Scholar]
- STEPHENS J. W. Neurological sequelae of congenital heart surgery. Arch Neurol. 1962 Nov;7:450–459. doi: 10.1001/archneur.1962.04210050086010. [DOI] [PubMed] [Google Scholar]