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Case Reports
. 2015 Feb 16;2(4):250-252.
doi: 10.1002/ams2.110. eCollection 2015 Oct.

Cardiopulmonary arrest during the Nuss procedure: case report and review

Osamu Nakahara  1 , Shigeki Ohshima  1 , Hideo Baba  2
Affiliations
Case Reports

Cardiopulmonary arrest during the Nuss procedure: case report and review

Osamu Nakahara et al. Acute Med Surg. .

Abstract

Case: The Nuss procedure is an established and widely approved minimally invasive technique for the correction of pectus excavatum. However, patients undergoing the procedure are at increased risk of cardiac arrest. It has not been established whether cardiopulmonary resuscitation is possible in patients who have received the Nuss procedure. We present here the case of a 14-year-old boy with pectus excavatum who underwent minimally invasive pectus repair but later had a fatal cardiac event before pectus bar removal.

Outcome: Bystander cardiopulmonary resuscitation was carried out immediately but resuscitation failed.

Conclusion: In patients who have undergone the Nuss procedure for pectus excavatum, it is important to manage perioperative events such as arrhythmia, develop measures for managing emergency situations in patients' areas of residence, and carry out continuing research and development of medical supply materials that can be used to manufacture Nuss bars.

Keywords: CPR; Cardiopulmonary arrest; Nuss procedure; late onset complication; pectus excavatum.

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Figures

Figure 1
Figure 1
Anteroposterior chest roentgenogram on admission of a 14‐year‐old boy who developed cardiopulmonary arrest shows two Nuss bars inserted in the chest wall.
See this image and copyright information in PMC

References

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