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Ann Thorac Surg 2006;81:370-372
© 2006 The Society of Thoracic Surgeons

Case report

A Life-Threatening Complication of the Nuss-Procedure for Pectus Excavatum

Tom N. Hoel, MD * , Kjell Arne Rein, MD, PhD, Jan L. Svennevig, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Rikshospitalet University Hospital, Oslo, Norway

Accepted for publication September 7, 2004.

* Address correspondence to Dr Hoel, Department of Thoracic and Cardiovascular Surgery, Rikshospitalet, Sognsvannsveien 20, Oslo, N-0027 Norway (Email: tom.nilsen.hoel{at}rikshospitalet.no).

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.




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 Ann. Thorac. Surg.Home page
G. W. Raff and M. S. Wong
Sternal Plating to Correct an Unusual Complication of the Nuss Procedure: Erosion of a Pectus Bar Through the Sternum
Ann. Thorac. Surg., March 1, 2008; 85(3): 1100 - 1101.
[Abstract] [Full Text] [PDF]


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