Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Intrapericardial migration of dislodged sternal struts as late complication of open pectus excavatum repairs. | Zhang et al. Journal of Cardiothoracic Surgery 2011 6 40 http content 6 1 40 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Intrapericardial migration of dislodged sternal struts as late complication of open pectus excavatum repairs Ruoyu Zhang Christian Hagl Dmitry Bobylev Thomas Breymann Jan D Schmitto Axel Haverich and Marcus Kruger Abstract We present a case of sternal steel strut dislodgement and migration in a patient undergoing Ravitch repair for pectus excavatum PE 37 years ago. Broken struts perforated the right ventricle and right ventricular outflow tract RVOT and additionally migrated into the left upper lobar bronchus. Dislodged sternal struts represent rare complications after surgical repair of patients suffering from pectus excavatum. Reviewing the literature only five cases of intrapericardial migration of dislodged sternal struts or wires have been reported so far. In our case the first strut was removed from the airways through a left antero-lateral thoracotomy. Using cardiopulmonary bypass a second strut was removed via ventriculotomy. These life-threatening sequelae underscore the importance of postoperative follow-up and early removal of osteosynthetic materials used in open PE repair. Accurate preoperative localization of migrated materials and availability of CPB support are crucial for successful surgical removal. Introduction The migration of dislodged sternal steel struts or wires into the pericardium and cardiac cavities is a rare but life-threatening complication of open pectus excavatum PE repair 1 . Removal of these materials poses a challenge for cardiothoracic surgeons. Herein the authors report a case of migration of dislodged steel struts through the right ventricle and right ventricular outflow tract RVOT into the left upper lobar bronchus in a patient who underwent Ravitch repair 37 years ago. Case report A 53-year-old male with known persistent atrial fibrillation was admitted with
