Emergent cardiopulmonary bypass during pectus excavatum repair

Ryan Craner, Ricardo Weis, Harish Ramakrishna

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Pectus excavatum is a chest wall deformity that produces significant cardiopulmonary disability and is typically seen in younger patients. Minimally invasive repair of pectus excavatum or Nuss procedure has become a widely accepted technique for adult and pediatric patients. Although it is carried out through a thoracoscopic approach, the procedure is associated with a number of potential intraoperative and post-operative complications. We present a case of cardiac perforation requiring emergent cardiopulmonary bypass in a 29-year-old male with Marfan syndrome and previous mitral valve repair undergoing a Nuss procedure for pectus excavatum. This case illustrates the importance of vigilance and preparation by the surgeons, anesthesia providers as well as the institution to be prepared with resources to handle the possible complications. This includes available cardiac surgical backup, perfusionist support and adequate blood product availability.

Original languageEnglish (US)
Pages (from-to)205-208
Number of pages4
JournalAnnals of cardiac anaesthesia
Volume16
Issue number3
DOIs
StatePublished - Jul 1 2013

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Keywords

  • Cardiac perforation
  • Cardiopulmonary bypass
  • Epidural anesthesia
  • Nuss procedure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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