title: Late coronary artery and tricuspid valve injury post pectus excavatum surgery.
abstract: We report the surgical case of a 25-year old man admitted because of progressive dyspnoea and stabbing chest pain, who had undergone a pectus excavatum correction using a retrosternal strut 8 years previously. The computerized tomography scan showed that the right tip of the pectus bar had migrated across his right ventricle and tricuspid valve into the right atrium. Intraoperatively, it was confirmed that in its path, the right coronary artery and the posterior leaflet of the tricuspid valve had been damaged. After removing the bar and repairing the tricuspid valve, the patient made a full recovery.
authors.affiliation: Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Bibiloni Lage
authors.forename: Khalid
authors.initials: K
authors.lastname: Khan
authors.forename: Ahmed
authors.initials: A
authors.lastname: Kaabneh
authors.forename: Simon
authors.initials: S
authors.lastname: Kendall
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology; D003331:Coronary Vessels / Q000293:injuries / Q000601:surgery; D020878:Device Removal; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005660:Funnel Chest / Q000601:surgery*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008670:Metals; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000295:instrumentation; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000293:injuries / Q000601:surgery; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
chemical_list: D008670:Metals
keywords: Coronary artery; Pectus excavatum; Tricuspid valve