Life-threatening aortic hemorrhage during pectus bar removal.
This report presents an unusual case of late, aortic hemorrhage that occurred during the removal of the stabilizing bar 3 years after a Nuss operation. The primary reason for this complication was a rotation of the sternum bar, which caused chronic damage to the aorta and development of an aortomediastinal fistula. Cardiopulmonary bypass and implantation of an aortic prosthesis were required for successful treatment of this complication.
Department of Cardiac Surgery, Poznań University of Medical Sciences, Poznań, Poland.
Marek
M
Jemielity
Krystian
K
Pawlak
Cezary
C
Piwkowski
Wojciech
W
Dyszkiewicz
D000293:Adolescent; D000714:Anastomosis, Surgical; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control; D019917:Blood Vessel Prosthesis Implantation; D020878:Device Removal / Q000009:adverse effects*; D005260:Female; D005440:Fluid Therapy; D005660:Funnel Chest / Q000628:therapy*; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019736:Prostheses and Implants / Q000009:adverse effects*; D013908:Thoracotomy; D016157:Vascular Fistula / Q000209:etiology*