Sudden cardiac arrest during Nuss procedure for pectus excavatum

Journal of Cardiothoracic Surgery
Do Yeon Kim, Jin Yong Jeong

Abstract

Cardiac arrest during the Nuss procedure is the most serious complication and is related to cardiac injury by the surgical instruments and pectus bars. To avoid the cardiac injury, there are several techniques with various devices, including crane and wire suture, lifting hook, the Kent or Langenbeck retractor, and the Vacuum Bell device. However, a case of cardiac arrest without direct cardiac injury during the Nuss procedure has been reported in the pectus excavatum patient with coronary-to-pulmonary arterial shunts. Recently, we encountered a case of cardiac arrest without cardiac abnormalities in preoperative studies and cardiac injury during the Nuss procedure.

References

Apr 8, 2009·Seminars in Pediatric Surgery·Sarah BouchardKeith A Kuenzler
Jan 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Hyung Joo ParkYoung Ho Choi
Apr 24, 2013·The Annals of Thoracic Surgery·Klaus SchaarschmidtSusanne Polleichtner
Aug 13, 2015·Pediatric Surgery International·Tsubasa TakahashiEiji Uchida
May 13, 2017·Journal of Pediatric Surgery·Silvia Yukari TogoroPaulo Manuel Pêgo-Fernandes
Jul 26, 2017·Journal of Cardiothoracic Surgery·Jianyong ZouChao Cheng

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