Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1988-9-14
pubmed:abstractText
A prospective study is reported of the prevalence, the clinical picture and the course of plexus brachialis lesions following median sternotomy during heart operations. The study comprises 1,585 patients. In 22 patients (1.39%) a lesion of the lower plexus brachialis was found postoperatively. In 12 patients the plexus lesion was combined with an ipsilateral Horner syndrome. The present study suggests that in spite of cautious use of the sternal retractor, the appearance of a postoperative plexus lesion cannot be completely avoided. In contrast to a cranial incision of the retractor, which can be associated with a posterior fracture of the first rib, a caudal placement of the retractor seems to induce a superior luxation of the first rib and local hematoma without concurrent fracture. Re-examinations of the patients demonstrated a good prognosis of these plexus lesions, the Horner syndromes, however, may remain for a longer time period. It is advisable that patients who have to undergo a heart operation with median sternotomy should be informed beforehand about the possible side-effects described here.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0028-2804
pubmed:author
pubmed:issnType
Print
pubmed:volume
59
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
388-92
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1988
pubmed:articleTitle
[Form of manifestations and course of brachial plexus lesions following medial sternotomy].
pubmed:affiliation
Abteilung für Klinische Neurophysiologie, Universität Göttingen.
pubmed:publicationType
Journal Article, English Abstract