title: Thoracic outlet syndrome after the Nuss procedure for the correction of extreme pectus excavatum.
abstract: Since the Nuss procedure was introduced in 1998, many complications have been reported, but not thoracic outlet syndrome. Here we report a 13-year-old boy with pectus excavatum who had thoracic outlet syndrome develop after a modified Nuss procedure. The major modification from the original technique was the use of an additional bar to resolve his long, asymmetric deformity. The patient showed clinical features of brachial plexus compression. The abrupt structural and spatial changes induced by the marked elevation of the upper depressed chest might have given rise to this condition. Thoracic outlet syndrome is a possible complication of the Nuss procedure.
authors.affiliation: Department of Neurology, Thoracic and Cardiovascular Surgery, School of Medicine, Kangwon National University, and Department of Thoracic and Cardiovascular Surgery, Kangwon National University Hospital, Chuncheon, Gangwon-do, Republic of Korea.
authors.forename: Seung-Hwan
authors.initials: SH
authors.lastname: Lee
authors.forename: Se Min
authors.initials: SM
authors.lastname: Ryu
authors.forename: Seong Joon
authors.initials: SJ
authors.lastname: Cho
mesh_terms: D000293:Adolescent; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D013901:Thoracic Outlet Syndrome / Q000209:etiology*