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Modified Nuss procedure to prevent myocardial injury

F Becmeur, MD, PhD
Epublication WebSurg.com, Dec 2011;11(12). URL: http://websurg.com/doi/vd01en3482

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  • 2011-12-15
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The Nuss procedure is a minimally invasive procedure for treating pectus excavatum. The onset of intraoperative complications during the placement of a Nuss bar used in the treatment of pectus excavatum has been recently reported and discussed in the literature. In order to avoid any pericardial and myocardial injury, a double thoracoscopy along with a very short substernal access allowing for a finger dissection of the space separating the sternum from the anterior mediastinum is demonstrated.