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

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 t...

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Bibliographic Details
Published in:Pediatric surgery international 2008-05, Vol.24 (5), p.617-620
Main Authors: Gips, Hadas, Zaitsev, Konstantin, Hiss, Jehuda
Format: Article
Language:English
Subjects:
Adolescent
Case Report
Fatal Outcome
Funnel Chest - diagnostic imaging
Funnel Chest - surgery
Heart Injuries - diagnosis
Heart Injuries - etiology
Humans
Intraoperative Complications
Male
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Rupture
Surgery
Tomography, X-Ray Computed
Wounds, Penetrating - diagnosis
Wounds, Penetrating - etiology
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Summary: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.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-007-2097-1