Cardiac perforation after surgical repair of pectus excavatum.
Five days after surgical repair of pectus excavatum, this 7-year-old boy had a right-sided Kirschner wire protruding beneath the skin. The wire was repositioned blindly. Severe congestive heart failure developed. Surgical exploration showed a pierced right atrium, a torn septal leaflet of the tricuspid valve and noncoronary aortic cusp, and a large traumatic ventricular septal defect. The outcome and the indications and possible complications of surgery are discussed.
Pircova
A
A
Pediatric Cardiology Unit, Centre Hospitalier Universitaire Vaudoid, Lausanne, Switzerland.
Sekarski-Hunkeler
N
N
Jeanrenaud
X
X
Ruchat
P
P
Sadeghi
H
H
Frey
P
P
Payot
M
M
D001864:Bone Wires / Q000009:adverse effects; D002648:Child; D005660:Funnel Chest / Q000601:surgery*; D006325:Heart Atria / Q000293:injuries; D006335:Heart Injuries / Q000209:etiology*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D014261:Tricuspid Valve / Q000293:injuries