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

Emergent cardiopulmonary bypass during pectus excavatum repair


Ryan Craner, Ricardo Weis, Harish Ramakrishna 
 Department of Anesthesiology, Mayo Clinic Hospital, Phoenix, Arizona, USA

Correspondence Address:
Ricardo Weis
5777 East Mayo Boulevard, Phoenix, Arizona 85054
USA

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.


How to cite this article:
Craner R, Weis R, Ramakrishna H. Emergent cardiopulmonary bypass during pectus excavatum repair.Ann Card Anaesth 2013;16:205-208


How to cite this URL:
Craner R, Weis R, Ramakrishna H. Emergent cardiopulmonary bypass during pectus excavatum repair. Ann Card Anaesth [serial online] 2013 [cited 2021 Nov 28 ];16:205-208
Available from: https://www.annals.in/article.asp?issn=0971-9784;year=2013;volume=16;issue=3;spage=205;epage=208;aulast=Craner;type=0