Osamu Nakahara1, Shigeki Ohshima1, Hideo Baba2. 1. Department of Surgery Taragi Municipal Hospital Kuma County Kumamoto Japan. 2. Department of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto City Kumamoto Japan.
Abstract
Case: The Nuss procedure is an established and widely approved minimally invasive technique for the correction of pectus excavatum. However, patients undergoing the procedure are at increased risk of cardiac arrest. It has not been established whether cardiopulmonary resuscitation is possible in patients who have received the Nuss procedure. We present here the case of a 14-year-old boy with pectus excavatum who underwent minimally invasive pectus repair but later had a fatal cardiac event before pectus bar removal. Outcome: Bystander cardiopulmonary resuscitation was carried out immediately but resuscitation failed. Conclusion: In patients who have undergone the Nuss procedure for pectus excavatum, it is important to manage perioperative events such as arrhythmia, develop measures for managing emergency situations in patients' areas of residence, and carry out continuing research and development of medical supply materials that can be used to manufacture Nuss bars.
Case: The Nuss procedure is an established and widely approved minimally invasive technique for the correction of pectus excavatum. However, patients undergoing the procedure are at increased risk of cardiac arrest. It has not been established whether cardiopulmonary resuscitation is possible in patients who have received the Nuss procedure. We present here the case of a 14-year-old boy with pectus excavatum who underwent minimally invasive pectus repair but later had a fatal cardiac event before pectus bar removal. Outcome: Bystander cardiopulmonary resuscitation was carried out immediately but resuscitation failed. Conclusion: In patients who have undergone the Nuss procedure for pectus excavatum, it is important to manage perioperative events such as arrhythmia, develop measures for managing emergency situations in patients' areas of residence, and carry out continuing research and development of medical supply materials that can be used to manufacture Nuss bars.
Authors: Sara F M Awad; Raimundo Barbosa-Barros; Lucia de Sousa Belem; Camila Pinto Cavalcante; Andrés Ricardo Pérez Riera; Javier Garcia-Niebla; Daniel D Anselm; Adrian Baranchuk Journal: Ann Noninvasive Electrocardiol Date: 2013-09 Impact factor: 1.468