Abstract

The Nuss procedure, which is a minimally invasive approach for treating pectus excavatum, has better functional and cosmetic outcomes than other invasive procedures. Cardiac perforation is the most serious complication and several methods for the prevention of intraoperative events has been developed. Although most cardiac injuries are detected in the operating room, in the case described herein the patient experienced sudden hypovolemic shock during the postoperative recovery period. This indicates that special caution is mandatory even after successful execution of the Nuss procedure.

Highlights

  • Since the introduction of minimally invasive repair of pectus excavatum, the Nuss procedure has become the preferred method due to its simplicity, cosmetic effects, and long-term success rate

  • Complications related to the Nuss procedure are not unusual, but major complications occur rarely

  • We report a rare case of delayed development of hypovolemic shock after a successful Nuss procedure

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Summary

Introduction

Since the introduction of minimally invasive repair of pectus excavatum, the Nuss procedure has become the preferred method due to its simplicity, cosmetic effects, and long-term success rate. We report a rare case of delayed development of hypovolemic shock after a successful Nuss procedure. A thoracoscope was introduced into the right pleural space and the pectus clamp was used to A chest tube with smooth end-points was passed through the tunnel created by the pectus clamp so as to form a protective space for the Nuss bar.

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