{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T16:20:00Z","timestamp":1774714800010,"version":"3.50.1"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report a case of superior trunk brachial plexus injury following a right mini-thoracotomy mitral valve repair. A 45-year-old woman with systemic lupus erythematosus, who was on steroids and immunosuppressive drugs, underwent mitral valve repair via right mini-thoracotomy. The patient was positioned in the left semisagittal position with the right upper arm elevated. Postoperatively, she exhibited focal motor and sensory deficits in the right upper extremity, and a superior trunk brachial plexus injury on the right side was diagnosed through brachial plexus MRI and electrophysiological examination. The nerve injury was likely due to excessive left lateral flexion of the head during the procedure. Sensation returned to normal 4\u2009weeks postoperatively, and muscle strength fully recovered 3\u2009months postoperatively. Careful attention to positioning during minimally invasive cardiac surgery is crucial to prevent nerve compression in superficial areas and excessive lateral flexion of the head.<\/jats:p>","DOI":"10.1093\/icvts\/ivae190","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T16:31:59Z","timestamp":1732206719000},"source":"Crossref","is-referenced-by-count":1,"title":["A case of superior trunk brachial plexus injury after right mini-thoracotomy mitral valve repair"],"prefix":"10.1093","volume":"39","author":[{"given":"Tatsuya","family":"Ozaki","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Osaka University Hospital , Suita, Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0695-3203","authenticated-orcid":false,"given":"Masashi","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Osaka University Hospital , Suita, Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Iwahashi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Osaka University Hospital , Suita, Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Miyagawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Osaka University Hospital , Suita, Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"2024121102404945400_ivae190-B1","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1093\/icvts\/ivs565","article-title":"Does retraction of the sternum during medium sternotomy result in brachial plexus injuries?","volume":"17","author":"Healey","year":"2013","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"2024121102404945400_ivae190-B2","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/S0022-5223(19)36865-5","article-title":"Brachial plexus injury after cardiac surgery","volume":"102","author":"Vahl","year":"1991","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024121102404945400_ivae190-B3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/S0003-4975(10)65455-0","article-title":"Brachial plexus injury following median sternotomy incision","volume":"11","author":"Kirsh","year":"1971","journal-title":"Ann Thorac Surg"},{"key":"2024121102404945400_ivae190-B4","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1510\/icvts.2006.137380","article-title":"Brachial plexus injury following median sternotomy","volume":"6","author":"Unl\u00fc","year":"2007","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2024121102404945400_ivae190-B5","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.hansur.2015.09.001","article-title":"Injury mechanisms in supraclavicular stretch injuries of the brachial plexus","volume":"35","author":"Soldado","year":"2016","journal-title":"Hand Surg Rehabil"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivae190\/60780450\/ivae190.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/39\/6\/ivae190\/61024033\/ivae190.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/39\/6\/ivae190\/61024033\/ivae190.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T02:44:17Z","timestamp":1733885057000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivae190\/7906497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,21]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12,3]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivae190","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,12]]},"published":{"date-parts":[[2024,11,21]]},"article-number":"ivae190"}}