下腔静脉机械性梗阻：使用努氏手术修复漏斗胸后的一种罕见并发症。

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

作者信息

Nath Dilip S, Wells Winfield J, Reemtsen Brian L

机构信息

Children's Hospital Los Angeles, Division of Cardiothoracic Surgery, Los Angeles, California 90027, USA.

出版信息

Ann Thorac Surg. 2008 May;85(5):1796-8. doi: 10.1016/j.athoracsur.2007.10.045.

DOI:10.1016/j.athoracsur.2007.10.045

PMID:18442593

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.

摘要

我们描述了一名13岁漏斗胸女孩的病例，她在接受努氏修复术后出现下腔静脉急性闭塞。在这名血流动力学不稳定的患者中，在通过静脉造影确诊下腔静脉阻塞之前，我们评估了胸腹部结构受到穿透性损伤的可能性。取出努氏棒缓解了这一意外问题。