1. Unusual Complication of the Nuss Procedure: Fistulization of the Internal Thoracic Artery to the Pulmonary Artery
- Author
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Katherine A. Barsness, David F. Wax, and Michael C. Mongé
- Subjects
medicine.medical_specialty ,Adolescent ,Fistula ,Internal thoracic artery ,Pulmonary Artery ,030204 cardiovascular system & hematology ,Nuss procedure ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Pectus excavatum ,Arterio-Arterial Fistula ,Internal medicine ,medicine.artery ,Occlusion ,Humans ,Medicine ,Thoracoplasty ,Mammary Arteries ,business.industry ,Thoracoscopy ,Angiography, Digital Subtraction ,Arteriovenous malformation ,General Medicine ,medicine.disease ,Embolization, Therapeutic ,Surgery ,030228 respiratory system ,Funnel Chest ,Pediatrics, Perinatology and Child Health ,Pulmonary artery ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Complication - Abstract
Although minimally invasive repair of pectus excavatum has been shown to have a low complication rate in large series, several case reports have documented life-threatening complications, including bleeding and cardiac perforation. We present a rare case of an arteriovenous malformation from the internal thoracic artery to the pulmonary artery caused by occlusion of the internal thoracic artery by the Nuss bar followed by an unidentified angiogenic process. The patient became symptomatic and required transcatheter coil embolization.
- Published
- 2017
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