Gips Hadas, Zaitsev Konstantin, Hiss Jehuda
The National Center of Forensic Medicine, 61085, Tel Aviv, Israel.
Pediatr Surg Int. 2008 May;24(5):617-20. doi: 10.1007/s00383-007-2097-1. Epub 2007 Dec 21.
Pectus excavatum (PE) is a congenital sternal depression. The two most popular methods of correction are the highly modified Ravitch repair (HMRR) and the Nuss procedure. Presented here is a case of PE surgical correction in a 17.5-year-old male, beginning with the Nuss technique and converting to the HMRR during surgery, due to unsatisfying results. The procedure inadvertently culminated in perforation of the heart and lungs by the inserted pectus bar, with aggravation of the damage by resuscitation efforts. This article analyzes the chain of events leading to the patient's death and reviews the literature on the subject.
漏斗胸（PE）是一种先天性胸骨凹陷。两种最常用的矫正方法是高度改良的拉维奇修复术（HMRR）和努斯手术。本文介绍了一名17.5岁男性漏斗胸手术矫正病例，手术开始采用努斯技术，但由于效果不理想，术中转为HMRR。手术意外导致插入的漏斗胸钢板穿破心脏和肺部，复苏努力加重了损伤。本文分析了导致患者死亡的一系列事件，并回顾了该主题的文献。
