Ipsilateral Horner's Syndrome as a Rare Complication of Tube Thoracostomy

To the Editor: In the January 24 issue, Drs. Kahn and Brandt 1 described a patient in whom ipsilateral Horner's syndrome developed six days after intraoperative placement of a chest tube through a left thoracotomy incision. They attribute the development of ipsilateral ptosis, miosis, and anhid...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 313; no. 2; pp. 121 - 122
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 11.07.1985
Subjects
Ganglia, Sympathetic - injuries
Horner Syndrome - etiology
Humans
Intubation - adverse effects
Thoracic Surgery - adverse effects
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Summary:To the Editor: In the January 24 issue, Drs. Kahn and Brandt 1 described a patient in whom ipsilateral Horner's syndrome developed six days after intraoperative placement of a chest tube through a left thoracotomy incision. They attribute the development of ipsilateral ptosis, miosis, and anhidrosis to compression of the superior cervical ganglion by the chest tube. Their patient had complete resolution of her Horner's syndrome within three weeks after removal of the chest tube. We agree that forcible positioning of chest tubes into the apex or mediastinum is to be discouraged. When there is evidence of compromise of vital intrathoracic . . . No extract is available for articles shorter than 400 words.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM198507113130216