Pediatric Surgery International

, Volume 21, Issue 12, pp 1015–1017 | Cite as

Late-onset hemothorax after the Nuss procedure for funnel chest

  • Takuya KosumiEmail author
  • Takeo Yonekura
  • Mitsugu Owari
  • Shinji Hirooka
Case Report


A 4-year-and-3-month-old boy with funnel chest underwent the Nuss procedure. He had an uneventful intraoperative and postoperative course, and was discharged on the tenth day of hospitalization. He developed chest pain while playing on the 29th day after surgery, and was diagnosed with right hemothorax. He was followed conservatively and the hemothorax disappeared.


Funnel chest Nuss procedure Late complication Hemothorax 


  1. 1.
    Nuss D, Kelly RE Jr, Croitoru DP, Katz ME (1998) A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 33:545–552CrossRefPubMedGoogle Scholar
  2. 2.
    Hebra A, Swoveland B, Egbert M, Tagge ET, Geoegeson K, Othersen HB Jr, Nuss D (2000) Outcome analysis of minimally invasive repair of pecutus excavatum: review of 251 cases. J Pediatr Surg 35:252–258CrossRefPubMedGoogle Scholar
  3. 3.
    Moss RL, Albanese CT, Reynolds M (2001) Major complications after minimally invasive repair of pectus excavatum: case reports. J Pediatr Surg. 36:155–158PubMedCrossRefGoogle Scholar
  4. 4.
    Nuss D, Kelly RE, Coritoru DP, Swoveland B (1998) Repair of pectus excavatum. Pediat Endosurg Innovative Techn 2:205–221Google Scholar
  5. 5.
    Croitoru DP, Kelly Jr RE, Goretsky MJ, Lawson ML, Swoveland B, Nuss D (2002) Experience and modification update for the minimally invasive Nuss techniue forr pectus excavatum repair in 303 patients. J Pediatr Surg 37:437–445PubMedCrossRefGoogle Scholar
  6. 6.
    Molik KA, Engum SA, Rescorla FJ, West KW, Scherer LR, Grosfeld JL (2001) Pectus excavatum repair: experience with standard and minimal invasive techniques. J Pediatr Surg 36:324–328CrossRefPubMedGoogle Scholar
  7. 7.
    Engum S,Rescoral F, West K,Rouse T, Scherer LR, Grosfeld J (2000) Is the grass greener? early results of the Nuss procedure. J Pediatr Surg 35: 246–251CrossRefPubMedGoogle Scholar
  8. 8.
    Wu PC, Knauer EM, McGowan GE, Hight DW (2001) Repair of pectus excavatum deformities in children. Arch Surg 136:419–424CrossRefPubMedGoogle Scholar
  9. 9.
    Nuss D, Croitoru DP, Kelly Jr RE, Goretsky MJ, Nuss KJ, Gustin TS (2002) Review and discussion of the complications of minimally invasive pectus excavatum repair. Eur J Pediatr Surg 12: 230–234PubMedCrossRefGoogle Scholar
  10. 10.
    Park HJ, LeeSY, Lee CS (2004) Complication associated with the nuss procedure: analysis of risk factors and suggested measures for prevention of complications J Pediatr Surg 39:391–395CrossRefPubMedGoogle Scholar
  11. 11.
    Uemura S, Nakagawa Y, Yoshida A, Choda Y (2003) Experience in 100 cases with the Nuss procedure using a technique for stabilization of pectus bar. Pediatr Surg. Int19:186–189Google Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Takuya Kosumi
    • 1
    Email author
  • Takeo Yonekura
    • 1
  • Mitsugu Owari
    • 1
  • Shinji Hirooka
    • 1
  1. 1.Department of Pediatric of Surgery, Nara Hospital Kinki University School of MedicineIkoma, Nara Japan

Personalised recommendations