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Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair
The modified Ravitch technique with metal struts and the Nuss operation have been the dominant operative techniques for treatment of pectus excavatum in the previous decades. We present devastating postoperative complications of a 16-year-old boy after the modified Ravitch procedure for a severe def...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625957/ https://www.ncbi.nlm.nih.gov/pubmed/31309035 http://dx.doi.org/10.1055/s-0039-1692195 |
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author | Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje |
author_facet | Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje |
author_sort | Stajevic, Mila |
collection | PubMed |
description | The modified Ravitch technique with metal struts and the Nuss operation have been the dominant operative techniques for treatment of pectus excavatum in the previous decades. We present devastating postoperative complications of a 16-year-old boy after the modified Ravitch procedure for a severe deformity utilizing two metal bars. Four months following surgery, one strut was removed after the displacement noted on a regular postoperative examination. Ten days after the strut removal, the patient complained of lower limb pain but the sensations were attributed to physical inactivity. Two months later, after pain intensification, the boy was diagnosed with bilateral arterial and venous lower limb thromboses and subsequently, the migration of the remaining metal strut intracardially with the free end in the left ventricular cavity embedded in massive thrombi. An urgent cardiac procedure was performed and the bar removed. Postoperatively, the boy made a full cardiac recovery but with severe neurological complications and subsequent death. Migration of metal struts is a rare complication and, except in our case, had been dealt with successfully. This case should emphasize more attention to the postoperative follow-up management of such patients. |
format | Online Article Text |
id | pubmed-6625957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-66259572019-07-15 Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje European J Pediatr Surg Rep The modified Ravitch technique with metal struts and the Nuss operation have been the dominant operative techniques for treatment of pectus excavatum in the previous decades. We present devastating postoperative complications of a 16-year-old boy after the modified Ravitch procedure for a severe deformity utilizing two metal bars. Four months following surgery, one strut was removed after the displacement noted on a regular postoperative examination. Ten days after the strut removal, the patient complained of lower limb pain but the sensations were attributed to physical inactivity. Two months later, after pain intensification, the boy was diagnosed with bilateral arterial and venous lower limb thromboses and subsequently, the migration of the remaining metal strut intracardially with the free end in the left ventricular cavity embedded in massive thrombi. An urgent cardiac procedure was performed and the bar removed. Postoperatively, the boy made a full cardiac recovery but with severe neurological complications and subsequent death. Migration of metal struts is a rare complication and, except in our case, had been dealt with successfully. This case should emphasize more attention to the postoperative follow-up management of such patients. Georg Thieme Verlag KG 2019-01 2019-07-12 /pmc/articles/PMC6625957/ /pubmed/31309035 http://dx.doi.org/10.1055/s-0039-1692195 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Stajevic, Mila Bijelovic, Milorad Kosutic, Jovan Simic, Radoje Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title | Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title_full | Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title_fullStr | Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title_full_unstemmed | Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title_short | Devastating Complications of Metal Strut Migration Following Pectus Excavatum Repair |
title_sort | devastating complications of metal strut migration following pectus excavatum repair |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625957/ https://www.ncbi.nlm.nih.gov/pubmed/31309035 http://dx.doi.org/10.1055/s-0039-1692195 |
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