Title |
Cardiac arrest without physical cardiac injury during Nuss repair of pectus excavatum
|
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Published in |
Journal of Cardiothoracic Surgery, July 2017
|
DOI | 10.1186/s13019-017-0624-2 |
Pubmed ID | |
Authors |
Jianyong Zou, Canqiao Luo, Zhenguo Liu, Chao Cheng |
Abstract |
Cardiac arrest is a lethal complication of Nuss repair of pectus excavatum which is strongly related to heart or big vessels injury. A rare case developed cardiac arrest without direct cardiac injury during Nuss procedure is presented in this article. In July 2015, a previously healthy 18-year-old man undergoing Nuss repair for pectus excavatum developed cardiac arrest while the Nuss bar was being inserted into the chest. After successful resuscitation and exclusion of direct cardiac injury, the Nuss procedure was continued. The patient suffered a second cardiac arrest during rotation of the Nuss bar. This time, the patient had poor initial response to resuscitation and defibrillation until the retrosternal bar was removed. He ultimately recovered well from the episodes of cardiac arrest, but was unable to receive surgical correction of his pectus excavatum deformity. The possible mechanisms of cardiac arrest and lessons we can learn from this complication are discussed. |
X Demographics
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Romania | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 5 | 17% |
Student > Master | 4 | 14% |
Student > Postgraduate | 3 | 10% |
Student > Bachelor | 2 | 7% |
Student > Ph. D. Student | 2 | 7% |
Other | 3 | 10% |
Unknown | 10 | 34% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 48% |
Engineering | 3 | 10% |
Agricultural and Biological Sciences | 1 | 3% |
Economics, Econometrics and Finance | 1 | 3% |
Nursing and Health Professions | 1 | 3% |
Other | 0 | 0% |
Unknown | 9 | 31% |