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Case Reports
. 2014 Sep;98(3):1104-6.
doi: 10.1016/j.athoracsur.2013.10.097.

Life-threatening hemorrhage during removal of a Nuss bar associated with sternal erosion

David M Notrica  1 , Lisa E McMahon  2 , Kevin N Johnson  3 , Daniel A Velez  4 , Leigh C McGill  2 , Dawn E Jaroszewski  3
Affiliations
Case Reports

Life-threatening hemorrhage during removal of a Nuss bar associated with sternal erosion

David M Notrica et al. Ann Thorac Surg. 2014 Sep.

Abstract

We present a case of life-threatening hemorrhage occurring during Nuss bar removal without obvious cardiac or major vascular injury. A 19-year-old woman with marfanoid features had undergone a Nuss procedure 3 years earlier for a pectus index of 7.2. A lateral chest radiograph revealed erosion of the upper bar into the sternum. During surgery, a 3.5-L blood loss occurred after removal of the eroded bar. This case provided many opportunities to improve preparedness for bar removal.

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