Korean J Anesthesiol.  2007 Oct;53(4):539-543. 10.4097/kjae.2007.53.4.539.

Cardiac Perforation and Hemothorax during the Pericardiectomy and the Removal of Pectus Bar in a Patient with Constrictive Pericarditis Occurred after Pectus Excavatum Repair by the Nuss Procedure: A case report

• Seo EJ
• Ahn KR
• Kim CS
• Kang KS
• You SH
• Chung JH
• Chung JW
• Lee SJ

• KMID: 2236609
• DOI: http://doi.org/10.4097/kjae.2007.53.4.539

Abstract

Nuss procedure offers excellent outcome effect in the cosmetic point of view, but the complications such as cardiac perforation, pericardial effusion, constrictive pericarditis, hemothorax, pneumothorax and bar displacement sometimes occur. We experienced a 13-year-old-male, who showed the profound hypotension with bradycardia due to the cardiac perforation and the lung laceration during the pericardiectomy and the removal of pectus bar. Emergent partial cardiopulmonary bypass was initiated and then, ruptured right atrium and lung laceration were repaired without the remarkable complications. In anesthetic management of the pectus excavatum. This case reveals that special attention should be paid to those with cardiac perforation and lung laceration.

Keyword

cardiac perforation; hemothorax; Nuss method; partial cadiopulmonary bypass; pectus excavatum; pericardiectomy

MeSH Terms

Bradycardia
Cardiopulmonary Bypass
Funnel Chest*
Heart Atria
Hemothorax*
Humans
Hypotension
Lacerations
Lung
Pericardial Effusion
Pericardiectomy*
Pericarditis, Constrictive*
Pneumothorax