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Brachial plexus injury following median sternotomy incision
Authors:M M Kirsh  K R Magee  O Gago  D R Kahn  H Sloan
Affiliation:1. Charité-Universitätsmedizin Berlin, Germany;2. University of Nebraska Medical Center, Omaha, NE, USA;3. Weber State University, UT, USA;4. Tel Aviv University, Israel;5. University of Melbourne, Australia;1. CIEPQPF - Research Centre on Chemical Processes Engineering and Forest Products, Department of Chemical Engineering, University of Coimbra, Rua Silvio Lima, Polo II, 3030-790 Coimbra, Portugal;2. INSTM and Chemistry for Technologies Laboratory, University of Brescia, 25123 Brescia, Italy;3. Centre for Resource Efficiency & the Environment (CREE), Department of Civil, Environmental & Geomatic Engineering (CEGE), University College London (UCL), Chadwick Building, Gower Street, London WC1E 6BT, UK;4. Development Center for Sustainable Management of Recyclable Waste and Resources (ZAR), Wildbachstrasse 2, 8340 Hinwil, Switzerland;5. Dipartimento di Scienze Biologiche, Geologiche e Ambientali, Università di Bologna, Piazza di Porta San Donato 1, 40126 Bologna, Italy;6. Danish Waste Solutions ApS, Agern Allé 3, DK-2970 Hørsholm, Denmark;7. Stena Recycling AS, Banemarksvej 40, DK-2605 Brøndby, Denmark;8. TU Wien, Christian-Doppler-Laboratory for Anthropogenic Resources, Karlsplatz 13/226, 1040 Vienna, Austria
Abstract:
The median sternotomy approach to intracardiac operations may be associated with damage to the brachial plexus similar to that reported with other types of operations. In 5 patients treated at the University of Michigan Hospital, varying degrees of upper extremity paralysis resulted from excessive spread of the retractors in an attempt to improve exposure of the heart.
Keywords:
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