Life-threatening aortic hemorrhage during pectus bar removal

Ann Thorac Surg. 2011 Feb;91(2):593-5. doi: 10.1016/j.athoracsur.2010.07.041.

Abstract

This report presents an unusual case of late, aortic hemorrhage that occurred during the removal of the stabilizing bar 3 years after a Nuss operation. The primary reason for this complication was a rotation of the sternum bar, which caused chronic damage to the aorta and development of an aortomediastinal fistula. Cardiopulmonary bypass and implantation of an aortic prosthesis were required for successful treatment of this complication.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anastomosis, Surgical
  • Aortic Diseases / diagnosis
  • Aortic Diseases / etiology*
  • Aortic Diseases / surgery
  • Blood Loss, Surgical / prevention & control
  • Blood Vessel Prosthesis Implantation
  • Device Removal / adverse effects*
  • Female
  • Fluid Therapy
  • Funnel Chest / therapy*
  • Hemorrhage / diagnosis
  • Hemorrhage / etiology*
  • Hemorrhage / therapy
  • Humans
  • Intraoperative Complications / etiology
  • Intraoperative Complications / prevention & control
  • Mediastinal Diseases / diagnosis
  • Mediastinal Diseases / etiology*
  • Mediastinal Diseases / surgery
  • Prostheses and Implants / adverse effects*
  • Thoracotomy
  • Vascular Fistula / etiology*