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...

Full description

Saved in:
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
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3
cites cdi_FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3
container_end_page 620
container_issue 5
container_start_page 617
container_title Pediatric surgery international
container_volume 24
creator Gips, Hadas
Zaitsev, Konstantin
Hiss, Jehuda
description 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.
doi_str_mv 10.1007/s00383-007-2097-1
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70510144</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1468456511</sourcerecordid><originalsourceid>FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3</originalsourceid><addsrcrecordid>eNp1kU-P1DAMxSMEYoeFD8AFRRy4FZymaVJuaMQ_aSUucI7cxFm66rSD0y6s-PKkmkErIXHyk_3zs6UnxHMFrxWAfZMBtNNVkVUNna3UA7FTjbZV55R-KHagbFeBNu5CPMn5BgCcbrvH4kK5grdW78TvPXIcMMgjcZoZl2GeZH8nsTTCsmbZI0tMC7HMK18PAUcZZuYy3Mg5_eXoV8BbXNbDWxkwk2Q6zrxInGKRtwP93NjlO8lxKGYFZHoqHiUcMz0710vx7cP7r_tP1dWXj5_3766q0LTNUtmebEjoGqhDT2TARG17bFKMZCgaqGMDBm2bUhcSGOdMF7FPUSVyXY_6Urw6-R55_rFSXvxhyIHGESea1-wtGAWqaQr48h_wZl55Kr_5uq7bzhptCqROUOA5Z6bkjzwckO-8Ar_F4k-x-E1usXhVdl6cjdf-QPF-45xDAeoTkMtouia-v_x_1z_i3Jrm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>222697535</pqid></control><display><type>article</type><title>Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature</title><source>Springer Nature</source><creator>Gips, Hadas ; Zaitsev, Konstantin ; Hiss, Jehuda</creator><creatorcontrib>Gips, Hadas ; Zaitsev, Konstantin ; Hiss, Jehuda</creatorcontrib><description>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.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-007-2097-1</identifier><identifier>PMID: 18097673</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Case Report ; Fatal Outcome ; Funnel Chest - diagnostic imaging ; Funnel Chest - surgery ; Heart Injuries - diagnosis ; Heart Injuries - etiology ; Humans ; Intraoperative Complications ; Male ; Medicine ; Medicine &amp; Public Health ; Pediatric Surgery ; Pediatrics ; Rupture ; Surgery ; Tomography, X-Ray Computed ; Wounds, Penetrating - diagnosis ; Wounds, Penetrating - etiology</subject><ispartof>Pediatric surgery international, 2008-05, Vol.24 (5), p.617-620</ispartof><rights>Springer-Verlag 2007</rights><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3</citedby><cites>FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18097673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gips, Hadas</creatorcontrib><creatorcontrib>Zaitsev, Konstantin</creatorcontrib><creatorcontrib>Hiss, Jehuda</creatorcontrib><title>Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>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.</description><subject>Adolescent</subject><subject>Case Report</subject><subject>Fatal Outcome</subject><subject>Funnel Chest - diagnostic imaging</subject><subject>Funnel Chest - surgery</subject><subject>Heart Injuries - diagnosis</subject><subject>Heart Injuries - etiology</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Rupture</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Wounds, Penetrating - diagnosis</subject><subject>Wounds, Penetrating - etiology</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1kU-P1DAMxSMEYoeFD8AFRRy4FZymaVJuaMQ_aSUucI7cxFm66rSD0y6s-PKkmkErIXHyk_3zs6UnxHMFrxWAfZMBtNNVkVUNna3UA7FTjbZV55R-KHagbFeBNu5CPMn5BgCcbrvH4kK5grdW78TvPXIcMMgjcZoZl2GeZH8nsTTCsmbZI0tMC7HMK18PAUcZZuYy3Mg5_eXoV8BbXNbDWxkwk2Q6zrxInGKRtwP93NjlO8lxKGYFZHoqHiUcMz0710vx7cP7r_tP1dWXj5_3766q0LTNUtmebEjoGqhDT2TARG17bFKMZCgaqGMDBm2bUhcSGOdMF7FPUSVyXY_6Urw6-R55_rFSXvxhyIHGESea1-wtGAWqaQr48h_wZl55Kr_5uq7bzhptCqROUOA5Z6bkjzwckO-8Ar_F4k-x-E1usXhVdl6cjdf-QPF-45xDAeoTkMtouia-v_x_1z_i3Jrm</recordid><startdate>20080501</startdate><enddate>20080501</enddate><creator>Gips, Hadas</creator><creator>Zaitsev, Konstantin</creator><creator>Hiss, Jehuda</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080501</creationdate><title>Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature</title><author>Gips, Hadas ; Zaitsev, Konstantin ; Hiss, Jehuda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Case Report</topic><topic>Fatal Outcome</topic><topic>Funnel Chest - diagnostic imaging</topic><topic>Funnel Chest - surgery</topic><topic>Heart Injuries - diagnosis</topic><topic>Heart Injuries - etiology</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Rupture</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Wounds, Penetrating - diagnosis</topic><topic>Wounds, Penetrating - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gips, Hadas</creatorcontrib><creatorcontrib>Zaitsev, Konstantin</creatorcontrib><creatorcontrib>Hiss, Jehuda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Family Health</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gips, Hadas</au><au>Zaitsev, Konstantin</au><au>Hiss, Jehuda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2008-05-01</date><risdate>2008</risdate><volume>24</volume><issue>5</issue><spage>617</spage><epage>620</epage><pages>617-620</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18097673</pmid><doi>10.1007/s00383-007-2097-1</doi><tpages>4</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0179-0358
ispartof Pediatric surgery international, 2008-05, Vol.24 (5), p.617-620
issn 0179-0358
1437-9813
language eng
recordid cdi_proquest_miscellaneous_70510144
source Springer Nature
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
title Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T06%3A04%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cardiac%20perforation%20by%20a%20pectus%20bar%20after%20surgical%20correction%20of%20pectus%20excavatum:%20case%20report%20and%20review%20of%20the%20literature&rft.jtitle=Pediatric%20surgery%20international&rft.au=Gips,%20Hadas&rft.date=2008-05-01&rft.volume=24&rft.issue=5&rft.spage=617&rft.epage=620&rft.pages=617-620&rft.issn=0179-0358&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-007-2097-1&rft_dat=%3Cproquest_cross%3E1468456511%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c464t-7be7cfa8402cbee505d37ba4fdde5ed502d405a76ff9cf058859dabfd1fe89ba3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=222697535&rft_id=info:pmid/18097673&rfr_iscdi=true