Life-Threatening Aortic Hemorrhage During Pectus Bar Removal

被引:38
作者
Jemielity, Marek
Pawlak, Krystian
Piwkowski, Cezary
Dyszkiewicz, Wojciech
机构
[1] Poznan Univ Med Sci, Dept Cardiac Surg, Poznan, Poland
[2] Poznan Univ Med Sci, Dept Thorac Surg, Poznan, Poland
关键词
NUSS-PROCEDURE; EXCAVATUM; REPAIR;
D O I
10.1016/j.athoracsur.2010.07.041
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report presents an unusual case of late, aortic hemorrhage that occurred during the removal of the stabilizing bar 3 years after a Nuss operation. The primary reason for this complication was a rotation of the sternum bar, which caused chronic damage to the aorta and development of an aortomediastinal fistula. Cardiopulmonary bypass and implantation of an aortic prosthesis were required for successful treatment of this complication. (Ann Thorac Surg 2011;91:593-5) (C) 2011 by The Society of Thoracic Surgeons
引用
收藏
页码:593 / 595
页数:4
相关论文
共 8 条
[1]   The minimally invasive Nuss technique for recurrent or failed pectus excavatum repair in 50 patients [J].
Croitoru, DP ;
Kelly, RE ;
Goretsky, MJ ;
Gustin, T ;
Keever, R ;
Nuss, D .
JOURNAL OF PEDIATRIC SURGERY, 2005, 40 (01) :181-186
[2]   Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature [J].
Gips, Hadas ;
Zaitsev, Konstantin ;
Hiss, Jehuda .
PEDIATRIC SURGERY INTERNATIONAL, 2008, 24 (05) :617-620
[3]   Near-fatal bleeding after transmyocardial ventricle lesion during removal of the pectus bar after the Nuss procedure [J].
Haecker, Frank-Martin ;
Berberich, Tobias ;
Mayr, Johannes ;
Gambazzi, Franco .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 138 (05) :1240-1241
[4]   A life-threatening complication of the Nuss-procedure for pectus excavatum [J].
Hoel, TN ;
Rein, KA ;
Svennevig, JL .
ANNALS OF THORACIC SURGERY, 2006, 81 (01) :370-372
[5]   Minimally invasive surgical repair of pectus excavatum [J].
Nuss, Donald .
SEMINARS IN PEDIATRIC SURGERY, 2008, 17 (03) :209-217
[6]   Complications associated with the Nuss procedure: Analysis of risk factors and suggested measures for prevention of complications [J].
Park, HJ ;
Lee, SY ;
Lee, CS .
JOURNAL OF PEDIATRIC SURGERY, 2004, 39 (03) :391-394
[7]  
Pilegaard Hans K, 2008, Interact Cardiovasc Thorac Surg, V7, P54, DOI 10.1510/icvts.2007.160937
[8]   Peri-operative data on the nuss procedure in children with pectus excavatum: independent survey of the first 20 years' data [J].
Protopapas, Aristotle D. ;
Athanasiou, Thanos .
JOURNAL OF CARDIOTHORACIC SURGERY, 2008, 3 (1)