Cardiac Perforation Caused By Pectus Excavatum Metal Bar Stabilizer: A Case Report

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DOI:

https://doi.org/10.48729/pjctvs.454

Keywords:

Funnel chest, Minimally invasive surgical procedures, Postoperative complications, Prosthesis and implants, Nuss procedure

Abstract

This paper reports the case of a female patient who underwent minimally invasive repair of pectus excavatum (MIRPE) in another service that evolved with bar rotation and cardiac perforation caused by the left stabilizer. The unique and frightening aspect of the case is that despite having the stabilizer inside the ventricle, the patient was oligosymptomatic: occasional chest pain and respiratory discomfort. Preoperative imaging showed rotation of the bar with stabilizers within the thoracic cavity. During surgery, intense ossification was observed around the prosthesis and it was noted that the left stabilizer had perforated the patient's left ventricle. Cardiac repair required a Clamshell incision and cardiopulmonary bypass. This case reinforces the validity of late radiological follow-up after MIRPE in an attempt to avoid this type of event, and the need to reevaluate the use of stabilizers perpendicular to the bar since they are not safe to prevent rotation of these implants.

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References

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Published

07-07-2024

How to Cite

1.
de Oliveira A, Oliveira MAP, Barcelos RR, Gomes da Silva DA, Tedde ML. Cardiac Perforation Caused By Pectus Excavatum Metal Bar Stabilizer: A Case Report. Rev Port Cir Cardiotorac Vasc [Internet]. 2024 Jul. 7 [cited 2024 Jul. 18];31(2):59-61. Available from: https://pjctvs.com/index.php/journal/article/view/454

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Clinical Cases

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