Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: Case report and review of the literature

Hadas Gips; Konstantin Zaitsev; Jehuda Hiss

doi:10.1007/s00383-007-2097-1

Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: Case report and review of the literature

Hadas Gips^*, Konstantin Zaitsev, Jehuda Hiss

^*Corresponding author for this work

Clinical Departments

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59 Scopus citations

Abstract

Pectus excavatum (PE) is a congenital sternal depression. The two most popular methods of correction are the highly modified Ravitch repair (HMRR) and the Nuss procedure. Presented here is a case of PE surgical correction in a 17.5-year-old male, beginning with the Nuss technique and converting to the HMRR during surgery, due to unsatisfying results. The procedure inadvertently culminated in perforation of the heart and lungs by the inserted pectus bar, with aggravation of the damage by resuscitation efforts. This article analyzes the chain of events leading to the patient's death and reviews the literature on the subject.

Original language	English
Pages (from-to)	617-620
Number of pages	4
Journal	Pediatric Surgery International
Volume	24
Issue number	5
DOIs	https://doi.org/10.1007/s00383-007-2097-1
State	Published - May 2008

Keywords

Cardiac perforation
Death
Nuss procedure
Pectus excavatum
Ravitch repair

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10.1007/s00383-007-2097-1

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AB - Pectus excavatum (PE) is a congenital sternal depression. The two most popular methods of correction are the highly modified Ravitch repair (HMRR) and the Nuss procedure. Presented here is a case of PE surgical correction in a 17.5-year-old male, beginning with the Nuss technique and converting to the HMRR during surgery, due to unsatisfying results. The procedure inadvertently culminated in perforation of the heart and lungs by the inserted pectus bar, with aggravation of the damage by resuscitation efforts. This article analyzes the chain of events leading to the patient's death and reviews the literature on the subject.

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Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: Case report and review of the literature

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