Post-thoracotomy Horner syndrome associated with extrapleural infusion of local anesthetic

Interact Cardiovasc Thorac Surg. 2009 Aug;9(2):309-10. doi: 10.1510/icvts.2008.198085. Epub 2009 May 1.

Abstract

Continuous incisional infusion of local anesthetic through an extrapleural catheter to achieve an intercostal nerve block is a safe and effective adjunct to control postoperative pain after thoracotomy. Local and systemic complications are rare. Here we present a case of an acute, reversible, post-thoracotomy Horner syndrome associated with the use of local anesthetic infusion via an intraoperatively placed extrapleural catheter.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / surgery
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / adverse effects*
  • Bupivacaine / administration & dosage
  • Bupivacaine / adverse effects*
  • Carcinoma, Non-Small-Cell Lung / surgery
  • Female
  • Horner Syndrome / chemically induced*
  • Humans
  • Infusions, Parenteral
  • Intercostal Nerves*
  • Lung Neoplasms / surgery
  • Middle Aged
  • Nerve Block*
  • Pain, Postoperative / prevention & control*
  • Thoracotomy*

Substances

  • Anesthetics, Local
  • Bupivacaine