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Emergent cardiopulmonary bypass during pectus excavatum repair


Department of Anesthesiology, Mayo Clinic Hospital, Phoenix, Arizona, USA

Correspondence Address:
Ricardo Weis
5777 East Mayo Boulevard, Phoenix, Arizona 85054
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114249

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Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 205-208

 

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Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.






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Department of Anesthesiology, Mayo Clinic Hospital, Phoenix, Arizona, USA

Correspondence Address:
Ricardo Weis
5777 East Mayo Boulevard, Phoenix, Arizona 85054
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114249

Rights and Permissions

Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.






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