Osteopathic treatment in a patient with left-ventricular assist device with left brachialgia: a case report

Abstract
This study deals with an osteopathic approach used for a patient with left-ventricular assist device (L-VAD) affected by left brachialgia. Clinical examination revealed the presence of thoracic outlet syndrome and pectoralis minor syndrome, with compression of the left proximal ulnar nerve, related to the surgical sternotomy performed. The osteopathic techniques used can be classified as indirect and direct, addressed to the pectoralis minor and the first left rib, respectively. To our knowledge, this is the first text in literature with an osteopathic treatment in a patient with L-VAD.

Autori: Bordoni B, Marelli F, Morabito B, Sacconi B
Estratto da Int Med Case Rep J. 2017 Jan 13;10:19-23. doi: 10.2147/IMCRJ.S120558. eCollection 2017
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