Revision Surgery in Pectus Excavatum after Failure of Nuss Technique

Abstract

A 17-year-old female had undergone two failed pectus excavatum repairs using the Nuss technique. Each time the bar had shifted, one time displacing the heart. Revision surgery was carried out using the Erlangen technique, which proved to be a safe and successful method to remove the displaced bar and correct the pectus excavatum.

Key words

Thoracic surgery - Nuss - pectus excavatum

References

• 1 Nuss D, Kelly Jr R E, Croitoru D P et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum.  J Pediatr Surg. 1998;  33 (4) 545-552
• 2 Weber P G, Huemmer H P, Reingruber B. Forces to be overcome in correction of pectus excavatum.  J Thorac Cardiovasc Surg. 2006;  132 (6) 1369-1373
• 3 Nuss D, Kelly Jr R E, Croitoru D P et al. Repair of pectus excavatum.  Ped Endosurg & Innovat Techn. 1998;  2 205-221
• 4 Kelly Jr R E, Shamberger R C, Mellins R B et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection.  J Am Coll Surg. 2007;  205 (2) 205-216
• 5 Fonkalsrud E W. Current management of pectus excavatum.  World J Surg. 2003;  27 (5) 502-508
• 6 Nuss D, Kelly Jr R E. Minimally invasive surgical correction of chest wall deformities in children (Nuss procedure).  Adv Pediatr. 2008;  55 395-410
• 7 Molik K A, Engum S A, Rescorla F J et al. Pectus excavatum repair: experience with standard and minimal invasive techniques.  J Pediatr Surg. 2001;  36 (2) 324-328
• 8 Bouchard S, Hong A R, Gilchrist B F et al. Catastrophic cardiac injuries encountered during the minimally invasive repair of pectus excavatum.  Semin Pediatr Surg. 2009;  18 (2) 66-72