Erosion of the Nuss bar into the internal mammary artery 4 months after minimally invasive repair of pectus excavatum.
The minimally invasive repair of pectus excavatum has become increasingly popular. Life-threatening complications have included bleeding and cardiac perforation. There have been a number of delayed cases of bleeding, many of which never demonstrated a clear source. We present a case of a delayed acute bleed from the Nuss bar eroding into the internal mammary artery 4 months after bar placement.
Adam
Laura A
LA
Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
Meehan
John J
JJ
D000328:Adult; D000792:Angiography; D002637:Chest Pain / Q000209:etiology; D004621:Embolization, Therapeutic; D004868:Equipment Failure; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D019736:Prostheses and Implants / Q000009:adverse effects*; D013902:Radiography, Thoracic; D012086:Reoperation; D018570:Risk Assessment; D013906:Thoracoscopy / Q000009:adverse effects* / Q000379:methods; D013927:Thrombosis / Q000209:etiology* / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome