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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2007;2(3):137-139.
Published online July 31, 2007.
Cardiac Arrest during the Rotation of a Stainless Steel Bar in a Patient undergoing the Pectus Excavatum Repair : A case report
On Sub Shin, Ki Ryang Ahn, Chun Sook Kim, Kyu Sik Kang, Sie Hyun You, Jin Hun Chung, Ji Weon Chung, Seung Jin Lee
1Department of Anesthesiology and Pain Medicine, University of Soonchunhyang Cheonan Hospital, Cheonan, Korea.
2Department of Thoracic and Cardiovascular Surgery, University of Soonchunhyang Cheonan Hospital, Cheonan, Korea.
A 6-year-old-man with a severe pectus excavatum and marfanoid feature was admitted for the correction of pectus excavatum. Nuss procedure was recently introduced, because of its excellent effect from the cosmetic point of view. This method is that convex steel bar is inserted under the sternum through small bilateral thoracic incisions, and when it is in position, the bar is turn over, thereby correction the deformity. We experienced a case of the cardiac arrest during the rotation of a stainless steel bar. After the injection of atropine, epinephrine and the closed cardiac massage, sinus rhythm was restored. A vasovagal reflex due to the operation could be considered the possible etiology.
Key Words: cardiac, arrest, Nuss, method, pectus, excavatum, vasovagal

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