Case ReportsA complication of pectus excavatum operation: endomyocardial steel strut
Section snippets
Comment
There are many different techniques for the correction of pectus excavatum deformity. Some surgeons prefer the salvage of perichondrium and anterior wedge osteotomies to sternum, thereby having fixation by suturing [3]. But most surgeons prefer internal fixation of the sternum to prevent paradoxical respiration and redepression, especially if the patients are elderly and athletic 4, 5.
Stainless steel struts of appropriate size placed retrosternally for internal fixation are extracted after 6
References (8)
Satisfactory correction of pectus excavatum deformity in the childhooda limited opportunity
J Thorac Surg
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Bioabsorbable struts made from poly L-lactide and their application for treatment of chest deformity
J Thorac Cardiovasc Surg
(1994) Pectus excavatum
Chest wall deformities
Cited by (28)
Evolution of technique and results after permanent open repair for pectus deformities
2022, JTCVS TechniquesLife-threatening complications and mortality of minimally invasive pectus surgery
2018, Journal of Pediatric SurgeryCitation Excerpt :We identified seven unpublished death cases (five secondary to cardiac injury and two related to gastrointestinal adverse events). Systematic literature review from 1998 to 2016 identified 27 cases of life threatening complications reported [6–30]. There were four published cases with mortality.
Titanium implant failure after chest wall osteosynthesis
2015, Annals of Thoracic SurgeryCitation Excerpt :Conversely, titanium implant removal is generally not scheduled after chest wall defect bridging, in light of a potentially complicated operation. Aware of the potential risk of life-threatening complications, the manufacturer of the Stratos system has reinforced a point of minor resistance (joint), the designer and some surgical teams have advised that forces and pressures be better distributed by multiplying implants [4, 6, 11] or combining with a mesh [18], and others have proposed that implants be removed 6 to 12 months after repair [10, 19] or that stronger [5, 10], modified [9], or absorbable [20] fixation material be used. In our experience, the combination of TCWO with a synthetic mesh or flap did not lessen the failure rate.
Congenital Chest Wall Deformities
2012, Pediatric Surgery, 2-Volume Set: Expert Consult - Online and PrintCongenital Chest Wall Deformities
2012, Pediatric SurgeryPectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation
2008, Seminars in Pediatric SurgeryCitation Excerpt :In their report, several patients are described whose chest cage failed to grow properly and whose costal cartilages were replaced with bony, inflexible scar rather than pliable cartilage, leading to severe restrictive pulmonary limitation, labeled “acquired Jeune's syndrome” (asphyxiating chondrodystrophy) by the authors. Several other reports of complications relating to the open operation appeared from 1995 to 1998, describing cardiac perforation after open operation, laceration of the phrenic artery, and migration of the PE correction bar placed at open operation into the endomyocardium, left ventricle, or abdomen.27-31 Recurrence rates following open operation were reviewed by Ellis in 1997 and were noted to be 2% by Fonkalsrud, 2.4% by Shamberger, 5% by Haller and coworkers, 6% by Sanger and coworkers, 10% by Gilbert, 11.8% by Singh, 16% by Pena, and 20.5% by Willital and Meier if no internal supporting bar was used but only 8.9% if a bar was used.32