title: Cardiac perforation after surgical repair of pectus excavatum.
abstract: 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.
authors.affiliation: Pediatric Cardiology Unit, Centre Hospitalier Universitaire Vaudoid, Lausanne, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Pircova
authors.forename: N
authors.initials: N
authors.lastname: Sekarski-Hunkeler
authors.forename: X
authors.initials: X
authors.lastname: Jeanrenaud
authors.forename: P
authors.initials: P
authors.lastname: Ruchat
authors.forename: H
authors.initials: H
authors.lastname: Sadeghi
authors.forename: P
authors.initials: P
authors.lastname: Frey
authors.forename: M
authors.initials: M
authors.lastname: Payot
mesh_terms: 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