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Migration of pectus excavatum correction bar into the left ventricle.

Dalrymple-Hay MJ, Calver A, Lea RE, Monro JL.

Department of Cardiothoracic Surgery, Southampton General Hospital, UK.

We present the case of a 19-year-old student who underwent correction of a pectus excavatum deformity using a pectus bar. At least 6 months following surgery, one end of the bar had migrated into his right ventricle, across the interventricular septum, to lie with its free end in the left ventricular cavity. This acted as a source of thrombus formation and lead to several systemic embolic events. The patient made a full recovery after removal of the bar. A review of the literature demonstrates that this has not been reported before.

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PMID: 9332936 [PubMed - indexed for MEDLINE]