Sternal suspension technique in treatment of pectus excavatum after open repair of congenital heart disease
10.3760/cma.j.issn.1001-4497.2019.11.002
- VernacularTitle: 内悬吊技术治疗先天性心脏病术后漏斗胸
- Author:
Jie YU
1
;
Qi ZENG
1
;
Na ZHANG
1
;
Chenghao CHEN
1
;
Changqi XU
1
;
Dong YAN
1
;
Dingyi LIU
1
;
Qian ZHANG
1
;
Xu ZHANG
1
Author Information
1. Department of Thoracic Surgery, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China
- Publication Type:Journal Article
- Keywords:
Pectus excavatum;
Sternal suspension;
Nuss procedure;
Congenital heart disease
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(11):645-648
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of using sternal suspension technique in correcting pectus excavatum after open repair of congenital heart disease and improve the safety of this technique.
Methods:A retrospective study was conducted for 8 cases of pectus excavatum treated with sternal suspension procedure after open repair of congenital heart disease from October 2005 to October 2018 in our institution, 5 males and 3 females. The median age of patients was 5.75 years (range 3.75-12.33 years) and the median Haller index was 4.20(range 3.60-5.19). All patients underwent cardiac ultrasound and chest CT scan to evaluate the severity retrosternal adhesions.
Results:All patients underwent the sternal suspension procedure successfully with a median operation time 55 min (range 30-230 min) and a median blood loss of 2 ml (range 2-120 ml). There was one patient suffered pneumothorax after operation. The patients were followed up for 4 months to 13 years with an excellent and good outcome.
Conclusion:Sternal suspension technique is a safe and effective procedure for pectus excavatum. To improve the security and reduce the incidence of cardiac injury, sternal suspension technique is a promising alternative for pectus patients with severe adhesion after open repair of congenital heart disease.
