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

被引：55
作者：
Gips, Hadas [1 ,2 ]
Zaitsev, Konstantin [1 ,2 ]
Hiss, Jehuda [1 ,2 ]
机构：
[1] Natl Ctr Forens Med, IL-61085 Tel Aviv, Israel
[2] Sackler Sch Med, Tel Aviv, Israel
来源：
PEDIATRIC SURGERY INTERNATIONAL | 2008年 / 24卷 / 05期
关键词：
pectus excavatum; Nuss procedure; Ravitch repair; cardiac perforation; death;
D O I：
10.1007/s00383-007-2097-1
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
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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收藏
页码：617 / 620
页数：4
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