Late complication of the Nuss procedure: recurrent cardiac tamponade

Won Jong Park; Jang Won Son; Kyu Hwan Park; You Min Kim; Jong Ho Nam; Kang Un Choi; Jung Ho Kim

doi:10.12701/yujm.2019.00241

Late complication of the Nuss procedure: recurrent cardiac tamponade

Yeungnam Univ J Med. 2019 Sep;36(3):260-264. doi: 10.12701/yujm.2019.00241. Epub 2019 Jun 13.

Authors

Won Jong Park¹, Jang Won Son², Kyu Hwan Park³, You Min Kim⁴, Jong Ho Nam², Kang Un Choi⁵, Jung Ho Kim⁶

Affiliations

¹ Division of Cardiology, Department of Internal Medicine, Dong-Eui Medical Center, Busan, Korea.
² Division of Cardiology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
³ Division of Cardiology, Department of Internal Medicine, Daegu Veterans Hospital, Daegu, Korea.
⁴ Division of Cardiology, Department of Internal Medicine, Pohang SM Christianity Hospital, Pohang, Korea.
⁵ Division of Cardiology, Department of Internal Medicine, Dongguk University Gyeongju Hospital, Gyeongju, Korea.
⁶ Department of Emergency Medicine, Yeungnam University Medical Center, Daegu, Korea.

Abstract

Pectus excavatum (PE) is known as one of the most common congenital deformities of the anterior chest wall. The Nuss procedure is an effective surgical therapy to correct PE. Here, we report a case of recurrent cardiac tamponade due to hemopericardium that occurred after 16 months following the Nuss procedure. The cause of recurrent hemopericardium was thought to be local, repetitive irritation of the pericardium by the Nuss steel bar. We should keep in mind that this serious complication can occur after the Nuss procedure, even in the late phase.

Keywords: Cardiac tamponade; Complication; Nuss procedure; Pectus excavatum.

Publication types

Case Reports