A life-threatening complication of the Nuss-procedure for pectus excavatum

被引：59

作者：

Hoel, TN ^{[1
]}

Rein, KA ^{[1
]}

Svennevig, JL ^{[1
]}

机构：

[1] Univ Hosp, Rikshosp, Dept Thorac & Cardiovasc Surg, N-0027 Oslo, Norway

来源：

ANNALS OF THORACIC SURGERY | 2006年 / 81卷 / 01期

关键词：

D O I：

10.1016/j.athoracsur.2004.09.008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe a delayed, life-threatening complication in a boy operated on using the Nuss-procedure 2 months earlier. On admittance he was in shock with cardiac tamponade. An immediate needle aspiration of blood from the pericardium was done before a median sternotomy. The Nuss-bar was removed, and we identified a 1.5-cm laceration in the adventitial layer of the ascending aorta as the source of bleeding. The tear was closed, and the patient had an uneventful recovery. Careful positioning of the bar is necessary to avoid complications. Measures must be taken postoperatively to confirm that the steel bar does not rotate.

引用

页码：370 / 372

页数：3

共 9 条

[1] Is the grass greener? Early results of the Nuss Procedure [J].

Engum, S ;

Rescorla, F ;

West, K ;

Rouse, T ;

Scherer, LR ;

Grosfeld, J .

JOURNAL OF PEDIATRIC SURGERY, 2000, 35 (02) :246-251

[2] Minimally invasive repair of pectus excavatum -: The Nuss procedure.: A European multicentre experience [J].

Hosie, S ;

Sitkiewicz, T ;

Petersen, C ;

Göbel, P ;

Schaarschmidt, K ;

Till, H ;

Noatnick, M ;

Winiker, H ;

Hagl, C ;

Schmedding, A ;

Waag, KL .

EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 2002, 12 (04) :235-238

[3] Minimally invasive endoscopic repair of pectus excavatum [J].

Jacobs, JP ;

Quintessenza, JA ;

Morell, VO ;

Botero, LM ;

van Gelder, HM ;

Tchervenkov, CI .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 21 (05) :869-873

[4]

Marusch F, 2003, ZBL CHIR, V128, P981

[5] Review and discussion of the complications of minimally invasive pectus excavatum repair [J].

Nuss, D ;

Croitoru, DP ;

Kelly, RE ;

Goretsky, MJ ;

Nuss, KJ ;

Gustin, TS .

EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 2002, 12 (04) :230-234

[6] A 10-year review of a minimally invasive technique for the correction of pectus excavatum [J].

Nuss, D ;

Kelly, RE ;

Croitoru, DP ;

Katz, ME .

JOURNAL OF PEDIATRIC SURGERY, 1998, 33 (04) :545-552

[7] 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

[8] THE OPERATIVE TREATMENT OF PECTUS EXCAVATUM [J].

RAVITCH, MM .

ANNALS OF SURGERY, 1949, 129 (04) :429-444

[9] Miniature access pectus excavatum repair: Lessons we have learned [J].

Zallen, GS ;

Glick, PL .

JOURNAL OF PEDIATRIC SURGERY, 2004, 39 (05) :685-689

← 1 →