Mechanical occlusion of the inferior vena cava: An early complication after repair of pectus excavatum using the Nuss procedure |
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| Authors: | Quentin Ballouhey,Bertrand Lé obon,Jean Franç ois Trinché ro,Christiane Baunin,Philippe Galinier,Jé rô me Sales de Gauzy |
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| Affiliation: | 1. Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne, 31059 Toulouse Cedex 9, France;2. Service de chirurgie cardiaque pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne Grande-Bretagne, 31059 Toulouse Cedex 9, France;3. Service d''anesthésie pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne Grande-Bretagne, 31059 Toulouse Cedex 9, France;4. Imagerie pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne, 31059 Toulouse Cedex 9, France;5. Service de chirurgie orthopédique pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne Grande-Bretagne, 31059 Toulouse Cedex 9, France |
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| Abstract: | The Nuss procedure is the most widely used surgical procedure to correct pectus excavatum. Although it is a minimally invasive approach, a number of major early complications, such as heart perforation, have been reported. We describe a 15-year-old boy in whom acute occlusion of the inferior vena cava developed after a Nuss repair. The diagnosis was confirmed by emergency postoperative CT examination, and treatment consisted of immediate removal of the Nuss bar. |
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| Keywords: | Pectus excavatum Nuss procedure Complications Inferior vena cava |
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