Cardiorespiratory arrest during and after nuss procedure: case report

Cujiño-Álvarez, Indira F; Torres-Salazar, Daniela; Velásquez-Galvis, Mauricio

doi:10.1186/s13019-023-02262-w

Cited by 1 publication

(2 citation statements)

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“…Cardiac arrest during the procedure is the most serious complication and is more related to cardiac injury caused by the metallic bar and surgical instruments. In addition, cardiac arrest may occur due to physical stimulation of the heart with a surgical instrument and oppression of the right ventricular outflow 5 . In previous studies, almost all related cardiac arrests were secondary to heart or major vessel injury; however, some cases of arrest have been reported without direct cardiac injury or cardiac abnormalities in perioperative studies 22 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, cardiac arrest may occur due to physical stimulation of the heart with a surgical instrument and oppression of the right ventricular outflow. 5 In previous studies, almost all related cardiac arrests were secondary to heart or major vessel injury; however, some cases of arrest have been reported without direct cardiac injury or cardiac abnormalities in perioperative studies. 22 The mortality rate for PE surgery is generally low, and it is uncommon for patients to experience unexpected fatalities post-surgery.…”

Section: Complicationsmentioning

confidence: 99%

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Post‐operative arrest following pectus excavatum repair: A case report with a systematic review of the published case reports

Roostaei,

Amini,

Abtahi

et al. 2024

Clinical Case Reports

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Key Clinical MessageCommon complications after PE surgery include ventricular tachycardia, cardiac arrest, pneumothorax, and bar displacement. These can lead to severe outcomes, emphasizing the need for caution and meticulous post‐operative monitoring. Patients and their families should be well‐informed about potential risks during the consent process.AbstractThe objective of this study was to raise awareness among medical staff and surgeons about potential complications, particularly rare and life‐threatening ones, associated with pectus excavatum (PE) surgery. PE is the most common chest wall deformity, characterized by sternal depression. Patients primarily seek treatment for cosmetic concerns, but some also report exercise intolerance and shortness of breath. Although surgical repair is the standard treatment, the incidence and nature of severe complications remain unclear and underreported. This study presents a case of a lethal cardiac event following PE surgery and conducts a systematic review of published case reports. This study describes a case of a lethal complication of ventricular fibrillation and cardiac arrest following the Ravitch procedure for correction of PE in a 10‐year‐old boy. A systematic review of relevant cases of PE surgery complications was conducted. Of the 506 initial records retrieved, 93 case reports from 83 articles were identified over the 23 years. Among them, 72 patients were male, and 20 cases were female. The average age of patients was 19.2 ± 7.7 years (range: 5–53). Complications had occurred up to 37 years from the time of surgery, with most of the cases (22.5%) occurring during the operation. The most frequent complications included cardiothoracic issues and displacement of the implanted steel bar. In nine patients, complications led to fatal outcomes. Due to the possible risks of PE surgery, particularly in cosmetically motivated cases, surgeons must exercise extreme caution and remain vigilant for rare and potentially life‐threatening complications.

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Section: Discussionmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%