Cardiac perforation during minimally invasive repair of pectus excavatum : a rare complication

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dc.contributor.authorSenica, Simone Oliver
dc.contributor.authorGasparella, Paolo
dc.contributor.authorSoldatenkova, Ksenija
dc.contributor.authorLauris, Smits
dc.contributor.authorĀbola, Zane
dc.contributor.institutionDepartment of Paediatric Surgery
dc.date.accessioned2022-12-02T12:15:01Z
dc.date.available2022-12-02T12:15:01Z
dc.date.issued2022
dc.descriptionPublished by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022.
dc.description.abstractLife-threatening complications (LTCs) and negative results of surgical treatments often go unreported. Minimally invasive repair of pectus excavatum (MIRPE) represents a procedure with a low incidence of adverse outcomes. However, 15 potentially fatal cases of MIRPE-related heart injury have been published. We report a case of cardiac perforation (CP) during MIRPE. A 12-year-old female was admitted for elective repair of a severe asymmetric pectus excavatum. Preoperative computed tomography showed a Haller index of 4.9. MIRPE was performed under bilateral video-assisted thoracoscopy. After the placement of the pectus bar, cardiac arrhythmias, hypotension and bilateral hemothorax occurred. Emergency thoracotomy without pectus bar removal showed CP. The wound sites were repaired and the pectus bar was eventually successfully implanted. The patient was discharged on postoperative day 11. After 10 months, she remains asymptomatic. Reporting rare complications is essential for accurate calculations of the true prevalence of LTCs, maintaining high alertness in pediatric surgeons.en
dc.description.statusPeer reviewed
dc.format.extent4
dc.format.extent390183
dc.identifier.citationSenica, S O, Gasparella, P, Soldatenkova, K, Lauris, S & Ābola, Z 2022, 'Cardiac perforation during minimally invasive repair of pectus excavatum : a rare complication', Journal of Surgical Case Reports, vol. 2022, no. 11, rjac538, pp. 1-4. https://doi.org/10.1093/jscr/rjac538
dc.identifier.doi10.1093/jscr/rjac538
dc.identifier.issn2042-8812
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/9817
dc.identifier.urlhttps://www-webofscience-com.db.rsu.lv/wos/alldb/full-record/WOS:000894032600031
dc.language.isoeng
dc.relation.ispartofJournal of Surgical Case Reports
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNuss procedure
dc.subjectfunnel chest
dc.subjectheart injury
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.titleCardiac perforation during minimally invasive repair of pectus excavatum : a rare complicationen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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