A life-threatening complication of the Nuss-procedure for pectus excavatum

被引：62
|
作者：
Hoel, TN [1 ]
Rein, KA [1 ]
Svennevig, JL [1 ]
机构：
[1] Univ Hosp, Rikshosp, Dept Thorac & Cardiovasc Surg, N-0027 Oslo, Norway
来源：
ANNALS OF THORACIC SURGERY | 2006年 / 81卷 / 01期
关键词：
D O I：
10.1016/j.athoracsur.2004.09.008
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We describe a delayed, life-threatening complication in a boy operated on using the Nuss-procedure 2 months earlier. On admittance he was in shock with cardiac tamponade. An immediate needle aspiration of blood from the pericardium was done before a median sternotomy. The Nuss-bar was removed, and we identified a 1.5-cm laceration in the adventitial layer of the ascending aorta as the source of bleeding. The tear was closed, and the patient had an uneventful recovery. Careful positioning of the bar is necessary to avoid complications. Measures must be taken postoperatively to confirm that the steel bar does not rotate.
引用
收藏
页码：370 / 372
页数：3
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