Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum

RATIONALE: The Nuss procedure has become a major alternative operation for patients with pectus excavatum (PE). PATIENT CONCERNS: We report a case of 27-year-old man with PE who developed thoracic outlet syndrome (TOS) after the Nuss procedure. The patient showed clinical symptoms of brachial plexus...

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Detalles Bibliográficos
Autores principales: Zhang, Weiqiang, Pei, Yingxin, Liu, Keqiang, Tan, Jian, Ma, Jingbo, Zhao, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133401/
https://www.ncbi.nlm.nih.gov/pubmed/30200069
http://dx.doi.org/10.1097/MD.0000000000011846
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author Zhang, Weiqiang
Pei, Yingxin
Liu, Keqiang
Tan, Jian
Ma, Jingbo
Zhao, Jing
author_facet Zhang, Weiqiang
Pei, Yingxin
Liu, Keqiang
Tan, Jian
Ma, Jingbo
Zhao, Jing
author_sort Zhang, Weiqiang
collection PubMed
description RATIONALE: The Nuss procedure has become a major alternative operation for patients with pectus excavatum (PE). PATIENT CONCERNS: We report a case of 27-year-old man with PE who developed thoracic outlet syndrome (TOS) after the Nuss procedure. The patient showed clinical symptoms of brachial plexus compression. DIAGNOSES: Further evaluation demonstrated a narrowed space between the first rib and the anterior scalene muscle and compressing the brachial plexus and vessels. INTERVENTIONS: Nerve nourishing medicine and rehabilitation exercising were taken to restore the muscle strength. OUTCOMES: Several months later, the clinical symptoms disappeared. LESSONS: Medicine and rehabilitation exercising may benefit the functional recovery of impaired nerve in TOS in the early stage of TOS.
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spelling pubmed-61334012018-09-19 Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum Zhang, Weiqiang Pei, Yingxin Liu, Keqiang Tan, Jian Ma, Jingbo Zhao, Jing Medicine (Baltimore) Research Article RATIONALE: The Nuss procedure has become a major alternative operation for patients with pectus excavatum (PE). PATIENT CONCERNS: We report a case of 27-year-old man with PE who developed thoracic outlet syndrome (TOS) after the Nuss procedure. The patient showed clinical symptoms of brachial plexus compression. DIAGNOSES: Further evaluation demonstrated a narrowed space between the first rib and the anterior scalene muscle and compressing the brachial plexus and vessels. INTERVENTIONS: Nerve nourishing medicine and rehabilitation exercising were taken to restore the muscle strength. OUTCOMES: Several months later, the clinical symptoms disappeared. LESSONS: Medicine and rehabilitation exercising may benefit the functional recovery of impaired nerve in TOS in the early stage of TOS. Wolters Kluwer Health 2018-09-07 /pmc/articles/PMC6133401/ /pubmed/30200069 http://dx.doi.org/10.1097/MD.0000000000011846 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle Research Article
Zhang, Weiqiang
Pei, Yingxin
Liu, Keqiang
Tan, Jian
Ma, Jingbo
Zhao, Jing
Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title_full Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title_fullStr Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title_full_unstemmed Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title_short Thoracic outlet syndrome (TOS): A case report of a rare complication after Nuss procedure for pectus excavatum
title_sort thoracic outlet syndrome (tos): a case report of a rare complication after nuss procedure for pectus excavatum
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133401/
https://www.ncbi.nlm.nih.gov/pubmed/30200069
http://dx.doi.org/10.1097/MD.0000000000011846
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