Delayed-onset hypovolemic shock after the Nuss procedure for pectus excavatum
Jin Yong Jeong, Jong Hui Suh, Jeong Seob Yoon
1Department of Thoracic and Cardiovascular Surgery, Incheon St, Mary's Hospital, The Catholic University of Korea, Incheon, Republic of Korea. drcs5223@daum.net.
Abstract:
The Nuss procedure, which is a minimally invasive approach for treating pectus excavatum, has better functional and cosmetic outcomes than other invasive procedures. Cardiac perforation is the most serious complication and several methods for the prevention of intraoperative events has been developed. Although most cardiac injuries are detected in the operating room, in the case described herein the patient experienced sudden hypovolemic shock during the postoperative recovery period. This indicates that special caution is mandatory even after successful execution of the Nuss procedure.
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