C Castellani1, A K Saxena, D Zebedin, M E Hoellwarth. 1. Department of Pediatric and Adolescent Surgery, Medical University Graz, Auenbruggerplatz 34, 8036, Graz, Austria. christoph.castellani@meduni-graz.at
Abstract
PURPOSE: The aim of this study was to evaluate the pleural and pericardial morbidity in patients that had undergone pectus excavatum corrections using minimal access repair of pectus excavatum (MARPE) at a single center. MATERIALS AND METHODS: Data from patients after MARPE from 2000 to 2007 were prospectively collected. Patients with pneumothorax and pleural and pericardial effusions were identified. RESULTS: One hundred eighty patients were corrected by MARPE. Eighty-four were identified to have pleural or pericardial morbidities. Pneumothorax was documented in 33 patients and five required placement of a chest tube. Pleural effusions were recorded in 53 and were found to recur in four patients. Drainage was necessary in 18 patients. Pericardial effusions were observed in five patients; in two cases, they were associated with recurring pleural effusions, suggesting postcardiomyotomy syndrome. CONCLUSIONS: MARPE is associated with a high rate of pleural and pericardial morbidities, but only a small number requires interventions.
PURPOSE: The aim of this study was to evaluate the pleural and pericardial morbidity in patients that had undergone pectus excavatum corrections using minimal access repair of pectus excavatum (MARPE) at a single center. MATERIALS AND METHODS: Data from patients after MARPE from 2000 to 2007 were prospectively collected. Patients with pneumothorax and pleural and pericardial effusions were identified. RESULTS: One hundred eighty patients were corrected by MARPE. Eighty-four were identified to have pleural or pericardial morbidities. Pneumothorax was documented in 33 patients and five required placement of a chest tube. Pleural effusions were recorded in 53 and were found to recur in four patients. Drainage was necessary in 18 patients. Pericardial effusions were observed in five patients; in two cases, they were associated with recurring pleural effusions, suggesting postcardiomyotomy syndrome. CONCLUSIONS: MARPE is associated with a high rate of pleural and pericardial morbidities, but only a small number requires interventions.
Authors: Daniel P Croitoru; Robert E Kelly; Michael J Goretsky; M Louise Lawson; Barbara Swoveland; Donald Nuss Journal: J Pediatr Surg Date: 2002-03 Impact factor: 2.545
Authors: Christoph Castellani; Johannes Schalamon; Amulya K Saxena; Michael E Höellwarth Journal: Pediatr Surg Int Date: 2008-04-05 Impact factor: 1.827