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Int Med Case Rep J. 2017 Jan 13;10:19-23. doi: 10.2147/IMCRJ.S120558. eCollection 2017.

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

International medical case reports journal

Bruno Bordoni, Fabiola Marelli, Bruno Morabito, Beatrice Sacconi

Affiliations

  1. Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Institute of Hospitalization and Care with Scientific Address, Milan; CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore; CRESO, School of Osteopathic Centre for Research and Studies, Falconara Marittima.
  2. CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore; CRESO, School of Osteopathic Centre for Research and Studies, Falconara Marittima.
  3. CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore; CRESO, School of Osteopathic Centre for Research and Studies, Falconara Marittima; Department of Radiological, Oncological and Anatomopathological Sciences, Sapienza University of Rome.
  4. Center for Life Nano Science, CLNS@Sapienza, Istituto Italiano di Tecnologia, Rome, Italy.

PMID: 28144166 PMCID: PMC5245912 DOI: 10.2147/IMCRJ.S120558

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.

Keywords: L-VAD; TOS; fascia; myofascial; osteopathic; thoracic outlet syndrome

Conflict of interest statement

The authors report no conflicts of interest in this work.

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