Koroner bypass sonrası oluşan kalıcı ağrı ve brakial pleksus hasarı: Olgu sunumu ve literatür gözden geçirme

Kardiak cerrahinin nörolojik komplikasyonları neredeyse bir yüzyıldır bilinmektedir. Koroner arter bypass graftlemesi sonrası brakial pleksus yaralanmaları nadir bir komplikasyon değildir, fakat sıklıkla bulgular geçici olduğu ve tedavi gerektirmediğinden tanınma ve raporlanma sıklığı azdır. Çok nadir olguda periferik nöropati bulguları kalıcıdır ve özürlülüğe neden olur. Tanı semptomlar, görüntüleme ve elektrofizyolojik çalışmalara dayanır ve bu hem tedavi hem de medikal ve yasal sorumluluk için önemlidir. Burada sorunsuz koroner arter bypass cerrahisi sonrası sol üst ekstremitesinde kalıcı nöropatik ağrı ve brakila pleksus hasarı saptanan 63 yaşında erkek hasta sunuldu ve literatür eşliğinde sebep ve sonuçları gözden geçirildi.

Permanent pain and brachial plexus injury after coronary bypass grafting: Case report and reviwing the literature

Neurological complications of cardiac surgery is known for almost a century. Brachial plexus injury after coronary artery bypass grafting is not a rare complication, but the frequency of reporting is less because these are temporary and often symptoms requiring treatment. in a few cases peripheral neuropathy findings are permanent and causes of disability. Diagnosis isbased on symptoms, imaging and electrophysiological studies and it is important that both treatments for both medical andlegal liability. Here in 63-year-old male patient was diagnosed brachial plexus injury lasting neuropathic pain the left upperlimb after uneventful coronary artery bypass surgery presented and causes and consequences were discussed with literature.

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