Yeungnam Univ J Med.  2019 Sep;36(3):260-264. 10.12701/yujm.2019.00241.

Late complication of the Nuss procedure: recurrent cardiac tamponade

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Dong-Eui Medical Center, Busan, Korea.
  • 2Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. gubjae@hanmail.net
  • 3Division of Cardiology, Department of Internal Medicine, Daegu Veterans Hospital, Daegu, Korea.
  • 4Division of Cardiology, Department of Internal Medicine, Pohang SM Christianity Hospital, Pohang, Korea.
  • 5Division of Cardiology, Department of Internal Medicine, Dongguk University Gyeongju Hospital, Gyeongju, Korea.
  • 6Department of Emergency Medicine, Yeungnam University Medical Center, Daegu, Korea.

Abstract

Pectus excavatum (PE) is known as one of the most common congenital deformities of the anterior chest wall. The Nuss procedure is an effective surgical therapy to correct PE. Here, we report a case of recurrent cardiac tamponade due to hemopericardium that occurred after 16 months following the Nuss procedure. The cause of recurrent hemopericardium was thought to be local, repetitive irritation of the pericardium by the Nuss steel bar. We should keep in mind that this serious complication can occur after the Nuss procedure, even in the late phase.

Keyword

Cardiac tamponade; Complication; Nuss procedure; Pectus excavatum
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