Chest Pain and Dyspnea After a Minimally Invasive Repair of Pectus Excavatum

Juan M Farina; Michael B Gotway; Carolyn M Larsen; Jesse Lackey; Kristen A Sell-Dottin; Steven T Morozowich; Dawn E Jaroszewski

doi:10.1016/j.jaccas.2021.11.011

Chest Pain and Dyspnea After a Minimally Invasive Repair of Pectus Excavatum

JACC Case Rep. 2022 Apr 20;4(8):476-480. doi: 10.1016/j.jaccas.2021.11.011.

Authors

Juan M Farina¹, Michael B Gotway², Carolyn M Larsen³, Jesse Lackey¹, Kristen A Sell-Dottin¹, Steven T Morozowich⁴, Dawn E Jaroszewski¹

Affiliations

¹ Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, USA.
² Department of Radiology, Mayo Clinic, Phoenix, Arizona, USA.
³ Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, USA.
⁴ Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, Arizona, USA.

Abstract

Although infrequent, damage to cardiovascular structures can occur during or following a minimally invasive repair of pectus excavatum. We present a case of right ventricular outflow tract compression caused by a displaced intrathoracic bar. Removal of the bar resulted in an improvement in symptoms and hemodynamics. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; MIRPE, minimally invasive repair of pectus excavatum; PEx, pectus excavatum; RVOT, right ventricular outflow tract; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; complication; computed tomography; echocardiography; right ventricle; thoracic.

Publication types

Case Reports