胸骨凹陷矫正 19 年后出现危及生命的罕见并发症。
Exceptional life-threatening complication 19 years after Ravitch correction of pectus excavatum.
机构信息
Department of Cardiac Surgery, J Strus Multidisciplinary Hospital, Poznan, Poland.
Department of the Prevention of Cardiovascular Diseases, Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan, Poland.
出版信息
J Card Surg. 2021 Oct;36(10):3971-3972. doi: 10.1111/jocs.15889. Epub 2021 Aug 2.
BACKGROUND
Ravitch technique of chest correction has been considered, although invasive, as a safe and efficacious surgical method.
CASE
We describe a case of a 35-year-old woman with cardiac tamponade and in cardiogenic shock due to exceptional late complication after pectus excavatum reconstruction by means of classic Ravitch technique 19 years earlier. This very late adverse event was caused by a broken metal sternal wire that injured the wall of the ascending aorta. The patient underwent salvage repair of this segment of the aorta in cardiopulmonary bypass. Postoperative course and postdischarge 3-year follow-up have been uneventful.
CONCLUSION
Therefore, life-threatening cardiovascular complications may occur even many years after reconstructive surgery for chest deformity.
背景
尽管 Ravitch 胸部矫正技术具有侵入性，但被认为是一种安全有效的手术方法。
病例描述
我们描述了一例 35 岁女性的病例，该患者在 19 年前接受经典 Ravitch 技术进行漏斗胸重建后出现了非常罕见的迟发性并发症，导致心脏压塞和心源性休克。这个非常迟发的不良事件是由一根断裂的金属胸骨钢丝引起的，该钢丝损伤了升主动脉壁。患者在体外循环下接受了该段主动脉的挽救性修复。术后和出院后 3 年的随访过程均未出现异常。
结论
因此，即使在胸廓畸形矫正手术后多年，也可能发生危及生命的心血管并发症。
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