Mechanical occlusion of the inferior vena cava: an early complication after repair of pectus excavatum using the Nuss procedure

J Pediatr Surg. 2012 Dec;47(12):e1-3. doi: 10.1016/j.jpedsurg.2012.08.022.

Abstract

The Nuss procedure is the most widely used surgical procedure to correct pectus excavatum. Although it is a minimally invasive approach, a number of major early complications, such as heart perforation, have been reported. We describe a 15-year-old boy in whom acute occlusion of the inferior vena cava developed after a Nuss repair. The diagnosis was confirmed by emergency postoperative CT examination, and treatment consisted of immediate removal of the Nuss bar.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Device Removal
  • Follow-Up Studies
  • Funnel Chest / surgery*
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures / adverse effects*
  • Orthopedic Fixation Devices / adverse effects*
  • Orthopedic Procedures / instrumentation
  • Orthopedic Procedures / methods
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / etiology*
  • Postoperative Complications / physiopathology
  • Radiography
  • Reoperation / methods
  • Treatment Outcome
  • Ultrasonography, Doppler, Color / methods
  • Vena Cava, Inferior / diagnostic imaging*