Glithero Kyle J, Tackett John J, DeMason Kenneth, Burnweit Cathy A
Department of Pediatric Surgery, Nicklaus Children's Hospital, Medical Arts Building, 3200 SW 60th Court, Suite 201, Miami, FL 33155, USA.
University of Florida, Gainesville, FL 32611-8105, USA.
Int J Surg Case Rep. 2019;65:255-258. doi: 10.1016/j.ijscr.2019.10.055. Epub 2019 Oct 31.
Pectus excavatum is the most common congenital chest wall deformity. The minimally invasive repair of pectus excavatum (MIRPE) is the most commonly practiced method of surgical treatment and there is concern that the pectus bar will prevent effective CPR. There are no recorded cases of successful cardiopulmonary resuscitation with pectus bars in place.
A 17-year-old male with pectus excavatum underwent MIRPE. Two years later, he experienced out-of-hospital cardiac arrest and underwent successful cardiopulmonary resuscitation (CPR) in the field with a pectus bar in place.
Successful CPR is possible after MIRPE. Clear identification of patients who have undergone MIRPE and education of CPR providers in providing effective chest compressions and defibrillation for this patient population is necessary.
This is the first documented case of successful CPR in a patient with a pectus bar in place who experienced out-of-hospital cardiac arrest.
漏斗胸是最常见的先天性胸壁畸形。漏斗胸微创修复术（MIRPE）是最常用的外科治疗方法，人们担心胸壁矫形钢板会妨碍有效的心肺复苏（CPR）。目前尚无胸壁矫形钢板在位时成功进行心肺复苏的病例记录。
一名17岁漏斗胸男性患者接受了MIRPE。两年后，他在院外心脏骤停，胸壁矫形钢板在位的情况下在现场成功接受了心肺复苏。
MIRPE术后成功进行心肺复苏是可能的。明确识别接受过MIRPE的患者，并对心肺复苏提供者进行培训，使其能够为该患者群体提供有效的胸外按压和除颤，这是很有必要的。
这是第一例有文献记载的胸壁矫形钢板在位的院外心脏骤停患者成功进行心肺复苏的病例。
