Pseudoaneurysm after interscalene block for a rotator cuff repair.
We present a case of a 68-year-old female patient who had an interscalene nerve block (ISB) complicated by compression of her brachial plexus by a pseudoaneurysm. The complication occurred after the patient received an ISB as anesthesia for an outpatient shoulder procedure. Review of this complication should alert surgeons to consider this diagnosis as a possibility in patients with postoperative pain and/or neurologic compromise after receiving an ISB.
Flowers
G Adam
GA
Orthopaedic Research of Virginia, Richmond, Virginia, USA. akflowers3@earthlink.net
Meyers
John F
JF
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology*; D001182:Arthroscopy / Q000379:methods; D001366:Axillary Artery / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009407:Nerve Block / Q000009:adverse effects*; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology*; D010146:Pain / Q000209:etiology; D010292:Paresthesia / Q000209:etiology; D017006:Rotator Cuff / Q000601:surgery*; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology