Sternal Plating to Correct an Unusual Complication of the Nuss Procedure: Erosion of a Pectus Bar Through the Sternum Gary W. Raff, MD, Michael S. Wong,

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Presentation transcript:

Sternal Plating to Correct an Unusual Complication of the Nuss Procedure: Erosion of a Pectus Bar Through the Sternum Gary W. Raff, MD, Michael S. Wong, MD The Annals of Thoracic Surgery Volume 85, Issue 3, Pages 1100-1101 (March 2008) DOI: 10.1016/j.athoracsur.2007.09.018 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Retrosternal position of both bars. The Annals of Thoracic Surgery 2008 85, 1100-1101DOI: (10.1016/j.athoracsur.2007.09.018) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Nuss bar anterior to sternum (1, arrow), close-up (2). The Annals of Thoracic Surgery 2008 85, 1100-1101DOI: (10.1016/j.athoracsur.2007.09.018) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (1) Wedge osteotomy point of erosion (arrow), (2) sternal plate in place with posterior supporting strut inferiorly. The Annals of Thoracic Surgery 2008 85, 1100-1101DOI: (10.1016/j.athoracsur.2007.09.018) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The left image demonstrates contour irregularities present after failure of her Nuss procedure while the right demonstrates improved chest contour after modified Ravitch procedure with sternal plate fixation. The Annals of Thoracic Surgery 2008 85, 1100-1101DOI: (10.1016/j.athoracsur.2007.09.018) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions