Brachial plexus injury following coronary artery bypass surgery: a case report.

摘要: Postoperative brachial plexus injury, often manifesting as a variety of upper extremity neuropathies, is recognized and not uncommon complication following cardiac surgery that requires median sternotomy. In general, the vast majority its neurological symptoms are transient need no treatment. Nevertheless, in very rare cases, peripheral neuropathies will persist cause disability. We treated 67-year-old male patient complicated by permanent paresthesia paralysis left after an eventful coronary artery bypass surgery. The nerve conduction measurements electromyography all revealed C5 to T1 lesion. After carefully reviewing surgical course referring published literature, we tentatively concluded compression or overstretching produced wide prolonged sternal separation was most likely etiology. Asymmetrical traction halves during internal mammary harvesting might also have contributed this injury. surmised, therefore, injury could be minimized exact sternotomy, lower position smallest possible opening for retractor, avoidance constant asymmetrical on halves.