Axillary Artery to Pulmonary Artery Fistula following Nuss Procedure for Pectus Excavatum

Cho, So Hyun; Sung, Yon Mi; Kim, Jeong-Ho; Kim, Yoon Kyung; Lee, Jae Ik

doi:10.5761/atcs.cr.12.02140

ATCS

2014

DOI: 10.5761/atcs.cr.12.02140

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Axillary Artery to Pulmonary Artery Fistula following Nuss Procedure for Pectus Excavatum

So Hyun Cho

Yon Mi Sung

Jeong-Ho Kim

et al.

Abstract: Systemic artery to pulmonary vessel fistula (SAPVF) is an uncommon condition, which is congenital or acquired. We recently encountered a patient with acquired axillary artery to pulmonary artery fistula detected by dual-source 64-slice computed tomography (DSCT) angiography who had a Nuss surgical procedure for pectus excavatum. He suffered from wound infection following bar removal. Conventional angiography also demonstrated the SAPVF and successful embolization for treatment was carried out using microcoils … Show more

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Cited by 2 publications

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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.

show abstract

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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show abstract

Systemic Artery-to-Pulmonary Vessel Fistula at the Port Site of Previous Video-Assisted Thoracic Surgery: a Case Report

Kuramochi,

Muraoka,

Suzuki

et al. 2023

SN Compr. Clin. Med.

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Axillary Artery to Pulmonary Artery Fistula following Nuss Procedure for Pectus Excavatum

Cited by 2 publications

References 9 publications

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

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

Systemic Artery-to-Pulmonary Vessel Fistula at the Port Site of Previous Video-Assisted Thoracic Surgery: a Case Report

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