Pectus Excavatum Repair According to Nuss: Is It Safe to Place a Retrosternal Bar by a Transpleural Approach, Under Thoracoscopic Vision?
- 1 October 2011
- journal article
- case report
- Published by Mary Ann Liebert Inc in Journal of Laparoendoscopic & Advanced Surgical Techniques
- Vol. 21 (8), 757-761
- https://doi.org/10.1089/lap.2011.0035
Abstract
We present a new case of cardiac perforation during retrosternal dissection beginning a Nuss procedure for pectus excavatum repair in an 18-year-old boy. The true incidence of life-threatening complications, such as heart injuries during Nuss bar placement for pectus excavatum repair, as well as cardiac lacerations during removal of the bar, remains unknown. Many papers suggest measures to prevent these complications: approaching the retrosternal space through an additional subxiphoid short incision, lifting the sternum during bar placement, or placing the bar extrapleuraly. Nuss procedure is gaining more and more popularity due to its apparent simplicity; however, its operational complications should be well known and discussed to be avoided later on.Keywords
This publication has 26 references indexed in Scilit:
- Comparison of the Nuss and the Ravitch procedure for pectus excavatum repair: a meta-analysisJournal of Pediatric Surgery, 2010
- Catastrophic cardiac injuries encountered during the minimally invasive repair of pectus excavatumSeminars in Pediatric Surgery, 2009
- Reducing cardiac injury during minimally invasive repair of pectus excavatumEuropean Journal of Cardio-Thoracic Surgery, 2008
- Early complications of the Nuss procedure for pectus excavatum: a prospective studyPediatric Surgery International, 2008
- Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literaturePediatric Surgery International, 2007
- Malformations de la paroi thoracique antérieureRevue des Maladies Respiratoires, 2007
- Complications associated with the nuss procedure: analysis of risk factors and suggested measures for prevention of complicationsJournal of Pediatric Surgery, 2004
- Major complications after minimally invasive repair of pectus excavatum: Case reportsJournal of Pediatric Surgery, 2001
- Outcome analysis of minimally invasive repair of pectus excavatum: Review of 251 casesJournal of Pediatric Surgery, 2000
- A 10-year review of a minimally invasive technique for the correction of pectus excavatumJournal of Pediatric Surgery, 1998