Catastrophic cardiac injuries encountered during the minimally invasive repair of pectus excavatum

Semin Pediatr Surg. 2009 May;18(2):66-72. doi: 10.1053/j.sempedsurg.2009.02.002.


This paper presents four severe cardiac injuries that occurred in patients who underwent the minimally invasive repair of pectus excavatum (MIRPE). These complications occurred in different clinical settings, namely in a patient with an extremely severe form of pectus, in a patient who had previously undergone an open repair, after a previous open heart surgery, and at the time of bar removal. The purpose of this article is to review the circumstances leading to these cardiac injuries, share what we have learned from these patients, and hopefully help avoid these complications in the future.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Fatal Outcome
  • Follow-Up Studies
  • Funnel Chest / surgery*
  • Heart Injuries / etiology*
  • Heart Injuries / surgery
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures / adverse effects
  • Patient Satisfaction
  • Pericardial Effusion / etiology
  • Pericardium / injuries
  • Prostheses and Implants
  • Sternum / surgery
  • Thoracic Surgical Procedures / adverse effects
  • Treatment Outcome
  • Ventricular Septum / injuries