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
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.
引用
收藏
页码:617 / 620
页数:4
相关论文
共 15 条
  • [11] Evaluation of pectus bar position and osseous bone formation
    Ostlie, DJ
    Marosky, JK
    Spilde, TL
    Snyder, CL
    Peter, SDS
    Gittes, GK
    Sharp, RJ
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2003, 38 (06) : 953 - 955
  • [12] Complications associated with the Nuss procedure: Analysis of risk factors and suggested measures for prevention of complications
    Park, HJ
    Lee, SY
    Lee, CS
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2004, 39 (03) : 391 - 394
  • [13] Quality of life of patients who have undergone the Nuss Procedure for pectus excavatum: Preliminary findings
    Roberts, J
    Hayashi, A
    Anderson, JO
    Martin, JM
    Maxwell, LL
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2003, 38 (05) : 779 - 783
  • [14] Robicsek F, 1999, J CARDIOVASC SURG, V40, P725
  • [15] Cardiopulmonary resuscitation in patients with a Nuss bar - a case report and review of the titerature
    Zoeller, GK
    Zallen, GS
    Glick, PL
    [J]. JOURNAL OF PEDIATRIC SURGERY, 2005, 40 (11) : 1788 - 1791