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Minimally invasive repair of pectus excavatum in an adolescent with a history of a median sternotomy as an infant
Journal article   Open access   Peer reviewed

Minimally invasive repair of pectus excavatum in an adolescent with a history of a median sternotomy as an infant

Lauren Huckaby and Rajeev Prasad
Journal of pediatric surgery case reports, v 2(10), pp 443-445
01 Oct 2014
DOI: https://doi.org/10.1016/j.epsc.2014.09.003
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https://doi.org/10.1016/j.epsc.2014.09.003View
Published, Version of Record (VoR)CC BY-NC-SA V4.0,  Open

Abstract

Life Sciences & Biomedicine Pediatrics Science & Technology
The report by Nuss et al., in 1998 of their 10-year experience with minimally invasive repair of pectus excavatum introduced the possibility of a less invasive approach for the correction of chest wall abnormalities. This procedure is now well-accepted around the world, although serious complications such as intraoperative cardiac perforation and postoperative bar displacement have been reported. The Nuss procedure has been performed concurrently with sternotomy for cardiac operations. However, there have been no reports of minimally invasive pectus excavatum correction in a child with a remote history of a median sternotomy. With IRB approval (Protocol # 1308002283) we report the successful completion of a Nuss procedure in an adolescent with a history of a median sternotomy in infancy. During the procedure, thoracoscopy on the right side revealed significant adhesions of the lung and pericardium to the posterior sternum. Additional trocars were placed bilaterally to facilitate visualization and to allow for lysis of the adhesions with bipolar cautery. Passage of the bar was accomplished uneventfully and the patient has an excellent cosmetic outcome 28 months following the operation. We believe that a previous median sternotomy should not be viewed as a contraindication to the minimally invasive repair of pectus excavatum. (C) 2014 The Authors. Published by Elsevier Inc. All rights reserved.

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Collaboration types
Domestic collaboration
Web of Science research areas
Pediatrics
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