Unusual Complication of the Nuss Procedure: Fistulization of the Internal Thoracic Artery to the Pulmonary Artery.
Autor: Mongé, Michael C.; Wax, David; Barsness, Katherine
Publication year: 2020
World journal for pediatric & congenital heart surgery
issn:2150-136X 2150-1351
doi: 10.1177/2150135117696493
Abstract:
Although minimally invasive repair of pectus excavatum has been shown to have a low complication rate in large series, several case reports have documented life-threatening complications, including bleeding and cardiac perforation. We present a rare case of an arteriovenous malformation from the internal thoracic artery to the pulmonary artery caused by occlusion of the internal thoracic artery by the Nuss bar followed by an unidentified angiogenic process. The patient became symptomatic and required transcatheter coil embolization.
Language: eng
Rights:
Pmid: 28820011
Tags: Humans; Female; Adolescent; *Postoperative Complications; *Mammary Arteries; *Pulmonary Artery; Angiography, Digital Subtraction; Arterio-Arterial Fistula/diagnosis/*etiology/therapy; chest wall; Embolization, Therapeutic; fistula; Funnel Chest/*surgery; internal thoracic artery; Nuss procedure; pectus excavatum; Thoracoplasty/*adverse effects; Thoracoscopy/*adverse effects
Link: https://pubmed.ncbi.nlm.nih.gov/28820011/