Delayed cardiac tamponade after the Nuss procedure for pectus excavatum: a case report and simple management.
A 22-year-old man presented at our emergency department with clinical signs of cardiac tamponade that required emergency surgery. We treated this patient by using emergency echocardiographically guided pericardiocentesis with insertion of a central venous catheter for drainage without removal of the steel bar. The causes of his pericardial effusion appeared to have been displacement of the bar from a pectus excavatum repair 6 months previously and his ingestion of ginseng extract. This case illustrates a possible cause of cardiac tamponade after the Nuss procedure and a simple way to manage it.
Yang
Ming-Hsin
MH
Divisions of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Cheng
Yeung-Leung
YL
Tsai
Chien-Sung
CS
Li
Chung-Yi
CY
D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005660:Funnel Chest / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D019616:Thoracic Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult