Mechanical occlusion of the inferior vena cava: an unusual complication after repair of pectus excavatum using the nuss procedure.

Nath, Dilip S; Wells, Winfield J; Reemtsen, Brian L · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

We describe the case of a 13-year-old girl with a pectus excavatum in whom acute occlusion of the inferior vena cava developed after a nuss repair. In this hemodynamically unstable patient, we evaluated the possibility of a penetrating injury to the thoracic and abdominal structures before confirming the diagnosis of inferior vena cava obstruction with a venogram. Removal of the nuss bar relieved the unexpected problem.

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