Abstract
IntroductionPectus excavatum is the most common congenital chest wall deformity. The minimally invasive repair of pectus excavatum (MIRPE) is the most commonly practiced method of surgical treatment and there is concern that the pectus bar will prevent effective CPR. There are no recorded cases of successful cardiopulmonary resuscitation with pectus bars in place. Presentation of caseA 17-year-old male with pectus excavatum underwent MIRPE. Two years later, he experienced out-of-hospital cardiac arrest and underwent successful cardiopulmonary resuscitation (CPR) in the field with a pectus bar in place. DiscussionSuccessful CPR is possible after MIRPE. Clear identification of patients who have undergone MIRPE and education of CPR providers in providing effective chest compressions and defibrillation for this patient population is necessary. ConclusionThis is the first documented case of successful CPR in a patient with a pectus bar in place who experienced out-of-hospital cardiac arrest.
Highlights
Pectus excavatum is the most common congenital chest wall deformity
During a minimally invasive repair of pectus excavatum (MIRPE) 1or 2 stainless steel pectus bars are placed across the chest in the substernal position in order to correct the defect
We present the case of a 17-year-old male who underwent MIRPE at tertiary care children’s hospital, and prior to bar removal, experienced cardiac arrest with documented ventricular fibrillation followed by return of spontaneous circulation after successful cardiopulmonary resuscitation (CPR)
Summary
The minimally invasive repair of pectus excavatum (MIRPE) is the most commonly practiced method of surgical treatment and there is concern that the pectus bar will prevent effective CPR. There are no recorded cases of successful cardiopulmonary resuscitation with pectus bars in place. PRESENTATION OF CASE: A 17-year-old male with pectus excavatum underwent MIRPE. Two years later, he experienced out-of-hospital cardiac arrest and underwent successful cardiopulmonary resuscitation (CPR) in the field with a pectus bar in place. Clear identification of patients who have undergone MIRPE and education of CPR providers in providing effective chest compressions and defibrillation for this patient population is necessary. CONCLUSION: This is the first documented case of successful CPR in a patient with a pectus bar in place who experienced out-of-hospital cardiac arrest
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