Sudden cardiac arrest during Nuss procedure for pectus excavatum
Tóm tắt
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.
Tài liệu tham khảo
Zou J, Luo C, Liu Z, Cheng C. Cardiac arrest without physical cardiac injury during Nuss repair of pectus excavatum. J Cardiothorac Surg. 2017;12:61.
Schaarschmidt K, Lempe M, Schlesinger F, Jaeschke U, Park W, Polleichtner S. Lessons learned from lethal cardiac injury by nuss repair of pectus excavatum in a 16-year-old. Ann Thorac Surg. 2013;95:1793–5.
Bouchard S, Hong AR, Gilchrist BF, Kuenzler KA. Catastrophic cardiac injuries encountered during the minimally invasive repair of pectus excavatum. Semin Pediatr Surg. 2009;18:66–72.
Park HJ, Jeong JY, Jo WM, Shin JS, Lee IS, Kim KT, Choi YH. Minimally invasive repair of pectus excavatum: a novel morphology-tailored, patient-specific approach. J Thorac Cardiovasc Surg. 2010;139:379–86.
Takahashi T, Okazaki T, Yamataka A, Uchida E. Usefulness of Kent retractor and lifting hook for Nuss procedure. Pediatr Surg Int. 2015;31:1103–5.
Togoro SY, Tedde ML, Eisinger RS, Okumura EM, de Campos JRM, Pêgo-Fernandes PM. The Vacuum Bell device as a sternal lifter: An immediate effect even with a short time use. J Pediatr Surg. 2018;53:406–10.