2021
DOI: 10.3389/fped.2020.619065
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Internal Mammary Artery Compression After Pectus Excavatum Repair Does Not Increase Risk of Hemorrhagic Complications in Pediatric Patients

Abstract: Objectives: Minimal invasive repair of pectus excavatum (MIRPE) described by Nuss is the most popular correction nowadays of this deformity. During the introduction of the bars, they can hurt or compress the internal mammary arteries (IMA). The aim of this study was to observe the prevalence of IMA compression in children after MIRPE. Also, we examined if IMA obstruction increases the risk of complications at bar removal, and if these vascular changes are reversible.Materials and Methods: All patients operated… Show more

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“…The reported overall complication rate is between 2 and 27%. 1,2 Complications are characterized as early or late complications with the most common complications being early pneumothorax or late bar shift. 3 Fortunately, the incidence of severe life-threatening complication is reported to be .1%.…”
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“…The reported overall complication rate is between 2 and 27%. 1,2 Complications are characterized as early or late complications with the most common complications being early pneumothorax or late bar shift. 3 Fortunately, the incidence of severe life-threatening complication is reported to be .1%.…”
mentioning
confidence: 99%
“…3 Fortunately, the incidence of severe life-threatening complication is reported to be .1%. 1 Direct cardiac injury represents the majority of published severe complications; however, reports have been published describing internal mammary artery injury resulting in hemorrhage in the acute or chronic setting. 3,4 Here, we present 3 cases of internal mammary artery injury at various chronicity resulting in massive hemorrhage and subsequent management strategies.…”
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confidence: 99%
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