{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:02Z","timestamp":1756339562947,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,11]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Adults with congenital heart disease often have complex medical issues requiring individualised multidisciplinary care for optimising outcomes and quality of life. Chronic pain is an example. We report a rare case of intercostal neuralgia seemingly caused by irritation from a prosthetic valve in a right ventricle to pulmonary artery conduit in a patient with tetralogy of Fallot. Intercostal neuralgia is a painful disorder linked to nerve irritation or injury from trauma, infection or pressure. Although chronic postsurgical pain after cardiac surgery is prevalent, rarely the aetiology relates to valve irritation on a single intercostal nerve. After failing pharmacological therapy for 8\u2009months, the neuralgia completely resolved after an ultrasound-guided neurolytic block with long-term effectiveness and improvement in patient satisfaction.<\/jats:p>","DOI":"10.1136\/bcr-2020-239264","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T10:57:06Z","timestamp":1614682626000},"page":"e239264","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Chronic intercostal neuralgia after placement of right ventricle to pulmonary artery conduit with prosthetic valve"],"prefix":"10.1136","volume":"14","author":[{"given":"Destiny F","family":"Chau","sequence":"first","affiliation":[{"name":"Anesthesiology\/Pediatric Cardiothoracic Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eudice E","family":"Fontenot","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Anesthesiology\/Pediatric Cardiothoracic Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,2]]},"reference":[{"key":"2025082711211468000_14.3.e239264.1","doi-asserted-by":"crossref","first-page":"768","DOI":"10.2459\/JCM.0000000000000271","article-title":"Italian association of cardiovascular prevention, rehabilitation (GICR-IACPR). 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