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Ann Thorac Surg 2008;85:1796-1798. doi:10.1016/j.athoracsur.2007.10.045
© 2008 The Society of Thoracic Surgeons
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Dilip S. Nath
Winfield J. Wells
Brian L. Reemtsen
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Case Reports

Mechanical Occlusion of the Inferior Vena Cava: An Unusual Complication After Repair of Pectus Excavatum Using the Nuss Procedure

Dilip S. Nath, MD, Winfield J. Wells, MD, Brian L. Reemtsen, MD*

Children's Hospital Los Angeles, Division of Cardiothoracic Surgery, Los Angeles, California

Accepted for publication October 10, 2007.

* Address correspondence to Dr Reemtsen, Children's Hospital Los Angeles, Division of Cardiothoracic Surgery, 4650 Sunset Blvd, MS 66, Los Angeles, CA 90027 (Email: breemtsen{at}chla.usc.edu).

We describe the case of a 13-year-old girl with a pectus excavatum in whom acute occlusion of the inferior vena cava developed after a nuss repair. In this hemodynamically unstable patient, we evaluated the possibility of a penetrating injury to the thoracic and abdominal structures before confirming the diagnosis of inferior vena cava obstruction with a venogram. Removal of the nuss bar relieved the unexpected problem.






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