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Jaime F. Vazquez-Jimenez
Oliver J. Liakopoulos
Georg Wendt
Bruno J. Messmer
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Ann Thorac Surg 2002;73:119-122
© 2002 The Society of Thoracic Surgeons

Original article: cardiovascular

Injury of the common peroneal nerve after cardiothoracic operations

Jaime F. Vazquez-Jimenez, MD*a, Gabriele Krebs, MDa, Johannes Schiefer, MDb, Jörg S. Sachweh, MDa, Oliver J. Liakopoulos, MDa, Georg Wendt, MDa, Bruno J. Messmer, MDa

a Departments of Thoracic and Cardiovascular Surgery, University Hospital RWTH, Aachen, Germany
b Department of Neurology, University Hospital Rheinisch Westfälische Technische Hochschule, Aachen, Germany

Accepted for publication August 28, 2001.

* Address reprint requests to Dr Vazquez-Jimenez, Department of Thoracic and Cardiovascular Surgery, University Hospital, Pauwelsstr 30, D-52057 Aachen, Germany
e-mail: jvazquez-jimenez{at}post.klinikum.rwth-aachen.de

Background. To assess incidence, etiology, and clinical relevance of common peroneal nerve injury (CPNI) in patients after cardiothoracic surgery.

Methods. In an 11-year period, CPNI was detected in 39 out of 20,718 patients (0.19%): 38 times after cardiopulmonary bypass (CPB) (38 of 12,726; 0.30%) and in 1 patient after a non-CPB procedure (1 of 7,992; 0.013%). These patients underwent intensive physiotherapeutic treatment. As the majority of CPNI occurred after CPB (97.4%), data of these patients were compared with a 1-year set of 1,032 patients who underwent CPB procedures.

Results. Patients with CPNI were older, had a higher percentage of subnormal body weight, and had considerable comorbidity such as peripheral arteriosclerotic disease, diabetes mellitus, and arrhythmias. Follow-up was complete (mean: 5.2 years; 0.4 to 10.7 years). Twenty-eight patients were free of symptoms; 10 patients complained of moderate symptoms, but were not limited in their everyday life; 1 patient still suffers from severe sensorimotor symptoms.

Conclusions. CPNI after cardiothoracic surgery is rare. Duration of the operative procedure, an increased comorbidity, and a subnormal body weight are assumed to have an etiologic impact. Prognosis is mostly good, but early physiotherapeutic treatment is crucial for prognosis.


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Invited commentary
Norig Ellison
Ann. Thorac. Surg. 2002 73: 122. [Extract] [Full Text] [PDF]



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