Lessons Learned From Lethal Cardiac Injury by Nuss Repair of Pectus Excavatum in a 16-Year-Old
Autor: | Weon Park, Frank Schlesinger, Susanne Polleichtner, Michael Lempe, Klaus Schaarschmidt, Uwe Jaeschke |
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Rok vydání: | 2013 |
Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent Decompression Right atrial Cerebral edema Fatal Outcome Pectus excavatum medicine Humans Cardiac Surgical Procedures Auricle Respiratory distress business.industry Hypothermia medicine.disease Surgery medicine.anatomical_structure Heart Injuries Ventricle Funnel Chest Anesthesia medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | The Annals of Thoracic Surgery. 95:1793-1795 |
ISSN: | 0003-4975 |
DOI: | 10.1016/j.athoracsur.2012.09.038 |
Popis: | This report investigates cardiac injury and arrest during a Nuss repair of severe pectus excavatum in a 16-year-old boy in 2006. The injuries of the right atrial auricle and the right ventricle were sutured, and the patient was resuscitated. Ultimately he died on the 11th day of progressive malignant cerebral edema and respiratory distress syndrome despite cerebral decompression and hypothermia. Typical morphologic features of cardiac injuries are demonstrated, and strategies to avoid inadvertent organ injury in pectus operations are discussed. |
Databáze: | OpenAIRE |
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