title: Mechanical occlusion of the inferior vena cava: an early complication after repair of pectus excavatum using the Nuss procedure.
abstract: The Nuss procedure is the most widely used surgical procedure to correct pectus excavatum. Although it is a minimally invasive approach, a number of major early complications, such as heart perforation, have been reported. We describe a 15-year-old boy in whom acute occlusion of the inferior vena cava developed after a Nuss repair. The diagnosis was confirmed by emergency postoperative CT examination, and treatment consisted of immediate removal of the Nuss bar.
authors.affiliation: Service de chirurgie viscérale pédiatrique, Hôpital des Enfants, 330 avenue de Grande-Bretagne, 31059 Toulouse Cedex 9, France. q.ballouhey@gmail.com
authors.forename: Quentin
authors.initials: Q
authors.lastname: Ballouhey
authors.forename: Bertrand
authors.initials: B
authors.lastname: Léobon
authors.forename: Jean François
authors.initials: JF
authors.lastname: Trinchéro
authors.forename: Christiane
authors.initials: C
authors.lastname: Baunin
authors.forename: Philippe
authors.initials: P
authors.lastname: Galinier
authors.forename: Jérôme
authors.initials: J
authors.lastname: Sales de Gauzy
mesh_terms: D000293:Adolescent; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D020878:Device Removal; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D009984:Orthopedic Fixation Devices / Q000009:adverse effects*; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*