A Novel Approach to Eliminate Cardiac Perforation in the Nuss Procedure

被引:41
作者
Johnson, W. Rainey [1 ]
Fedor, David [1 ]
Singhal, Sunil [1 ]
机构
[1] Perelman Sch Med, Dept Surg, Thorac Surg Res Lab, Philadelphia, PA USA
关键词
MINIMALLY INVASIVE REPAIR; PECTUS EXCAVATUM REPAIR; BAR;
D O I
10.1016/j.athoracsur.2012.10.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pectus excavatum is the most common congenital abnormality of the chest wall. It may lead to adverse psychosocial development and preoccupation with a negative body image. The Nuss procedure is a minimally invasive approach for improving these patients' body image. The most dangerous complication is cardiac perforation from the insertion of the introducer. Our technique modifies this procedure to include a small subxiphoid incision and a novel sternal lift system that elevates the sternum. This facilitates the insertion of the introducer and placement of the pectus bar(s), and it reduces the risk of intraoperative cardiac perforation. (Ann Thorac Surg 2013;95:1109-11) (C) 2013 by The Society of Thoracic Surgeons
引用
收藏
页码:1109 / 1111
页数:3
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