Pediatric Surgery International

, Volume 24, Issue 5, pp 617–620 | Cite as

Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: case report and review of the literature

  • Hadas Gips
  • Konstantin Zaitsev
  • Jehuda Hiss
Case Report


Pectus excavatum (PE) is a congenital sternal depression. The two most popular methods of correction are the highly modified Ravitch repair (HMRR) and the Nuss procedure. Presented here is a case of PE surgical correction in a 17.5-year-old male, beginning with the Nuss technique and converting to the HMRR during surgery, due to unsatisfying results. The procedure inadvertently culminated in perforation of the heart and lungs by the inserted pectus bar, with aggravation of the damage by resuscitation efforts. This article analyzes the chain of events leading to the patient’s death and reviews the literature on the subject.


Pectus excavatum Nuss procedure Ravitch repair Cardiac perforation Death 


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Hadas Gips
    • 1
    • 2
  • Konstantin Zaitsev
    • 1
    • 2
  • Jehuda Hiss
    • 1
    • 2
  1. 1.The National Center of Forensic MedicineTel AvivIsrael
  2. 2.The Sackler School of MedicineTel AvivIsrael

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