Mechanical occlusion of the inferior vena cava: an unusual complication after repair of pectus excavatum using the nuss procedure.
We describe the case of a 13-year-old girl with a pectus excavatum in whom acute occlusion of the inferior vena cava developed after a nuss repair. In this hemodynamically unstable patient, we evaluated the possibility of a penetrating injury to the thoracic and abdominal structures before confirming the diagnosis of inferior vena cava obstruction with a venogram. Removal of the nuss bar relieved the unexpected problem.
Nath
Dilip S
DS
Children's Hospital Los Angeles, Division of Cardiothoracic Surgery, Los Angeles, California 90027, USA.
Wells
Winfield J
WJ
Reemtsen
Brian L
BL
D000293:Adolescent; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D020878:Device Removal; D005260:Female; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000601:surgery; D010496:Pericardium / Q000293:injuries; D010690:Phlebography; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D012086:Reoperation; D013906:Thoracoscopy; D014682:Vena Cava, Inferior; D014690:Venous Pressure / Q000502:physiology