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Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report

BACKGROUND: Patients with Marfan syndrome commonly require spinal deformity surgery. The purpose of this case report is to present a rare thoracotomy complication. We present the management of such a patient. CASE SUMMARY: In a known case of Marfan syndrome, an 18-year-old Persian man was admitted t...

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Autores principales: Safaei, Saeid, Mirbolook, Ahmadreza, Azimi, Parisa, Athari, Mirbahador, Hamzehzadeh, Farhad, Yazdanian, Taravat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995720/
https://www.ncbi.nlm.nih.gov/pubmed/33766117
http://dx.doi.org/10.1186/s13256-021-02755-z
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author Safaei, Saeid
Mirbolook, Ahmadreza
Azimi, Parisa
Athari, Mirbahador
Hamzehzadeh, Farhad
Yazdanian, Taravat
author_facet Safaei, Saeid
Mirbolook, Ahmadreza
Azimi, Parisa
Athari, Mirbahador
Hamzehzadeh, Farhad
Yazdanian, Taravat
author_sort Safaei, Saeid
collection PubMed
description BACKGROUND: Patients with Marfan syndrome commonly require spinal deformity surgery. The purpose of this case report is to present a rare thoracotomy complication. We present the management of such a patient. CASE SUMMARY: In a known case of Marfan syndrome, an 18-year-old Persian man was admitted to our hospital with scoliosis. The patient underwent radiological examinations, and thoracic scoliosis of 70° was diagnosed. A right thoracotomy for anterior spinal fusion from the sixth rib and posterior spinal fusion were performed successfully. Two months later, he was readmitted because of winging of the right scapula due to serratus anterior palsy. Electromyography and nerve conduction velocity confirmed long thoracic nerve injury. Conservative treatment was provided. Ultimately, the patient recovered completely in the last follow-up visit 6 months after the surgery. DISCUSSION: This is the first report of ipsilateral winged scapula after thoracotomy. Attention needs to be paid to surgical techniques in patients with Marfan syndrome.
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spelling pubmed-79957202021-03-30 Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report Safaei, Saeid Mirbolook, Ahmadreza Azimi, Parisa Athari, Mirbahador Hamzehzadeh, Farhad Yazdanian, Taravat J Med Case Rep Case Report BACKGROUND: Patients with Marfan syndrome commonly require spinal deformity surgery. The purpose of this case report is to present a rare thoracotomy complication. We present the management of such a patient. CASE SUMMARY: In a known case of Marfan syndrome, an 18-year-old Persian man was admitted to our hospital with scoliosis. The patient underwent radiological examinations, and thoracic scoliosis of 70° was diagnosed. A right thoracotomy for anterior spinal fusion from the sixth rib and posterior spinal fusion were performed successfully. Two months later, he was readmitted because of winging of the right scapula due to serratus anterior palsy. Electromyography and nerve conduction velocity confirmed long thoracic nerve injury. Conservative treatment was provided. Ultimately, the patient recovered completely in the last follow-up visit 6 months after the surgery. DISCUSSION: This is the first report of ipsilateral winged scapula after thoracotomy. Attention needs to be paid to surgical techniques in patients with Marfan syndrome. BioMed Central 2021-03-26 /pmc/articles/PMC7995720/ /pubmed/33766117 http://dx.doi.org/10.1186/s13256-021-02755-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Safaei, Saeid
Mirbolook, Ahmadreza
Azimi, Parisa
Athari, Mirbahador
Hamzehzadeh, Farhad
Yazdanian, Taravat
Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title_full Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title_fullStr Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title_full_unstemmed Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title_short Iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in Marfan syndrome: a case report
title_sort iatrogenic injury to long thoracic nerve following thoracotomy for right thoracic scoliosis in marfan syndrome: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995720/
https://www.ncbi.nlm.nih.gov/pubmed/33766117
http://dx.doi.org/10.1186/s13256-021-02755-z
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