Korean J Thorac Cardiovasc Surg.
2006 Nov;39(11):868-871.
Acute Aortic Injury after Nuss Bar Removal: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Pusan Paik Hospital, College of Medicine, Inje University, Korea. ctslee@ijnc.inje.ac.kr
Abstract
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Nuss operation as a method for correction of pectus excavatum is safe and satisfactory, but its complication presents pneumothorax, displaced bar, wound infection, pericarditis, pleural effusion, hemothorax, cardiac injury etc. We report a rare case of acute ascending aortic rupture after displaced and adhered Nuss bar removal. The patient was a 30-years old man who received Nuss operation 3 years ago. Nuss bar was removed without resistance but massively bled at both operation wound, so immediately femoro-femoral CPB and median sternotomy was done and repaired proximal aortic arch under deep hypothermic total circulatory arrest. The patient was discharged without complication at postoperative 13 day.