PMC6864329_01
A, Preoperative photograph of chest showing pectus defect. B, Preoperative computerized tomography of the chest showing pectus excavatum deformity.
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His chest defect showed a greater depression on the right (Fig. 1A). Computerized tomography (CT) of the chest demonstrated central depression of the sternum with mass effect on the right cardiac chambers (Fig. 1B).
A, Postoperative anteroposterior chest radiograph showing two pectus bars in place. B, Posteroranterior and lateral chest radiographs showing bar slippage. C, Anteroposterior chest radiograph after removal of slipped bar.
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The postoperative chest x-ray was significant only for tiny bilateral apical pneumothoraces secondary to the positive pressure used during thoracoscopy (Fig. 2A). After removal of the FiberWire , there was some slippage of the superior bar and it was removed six months after the pectus repair (Fig. 2B, C).
A, Rhythm strip from AED showing ventricular fibrillation and deliverance of 200 J shock (outlined in red). B, Rhythm strip showing normal sinus rhythm after cessation of chest compressions and palpable pulse.
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AED demonstrated ventricular fibrillation (Fig. 3A). A shock was advised, delivered at 15:08:15, and compressions were continued. The Fire Rescue team arrived at 15:19:00 and return of spontaneous circulation was documented at 15:19:59 (Fig. 3B).
A, Anteroposterior chest radiograph after planned removal of final bar. B, Postoperative photograph of chest.
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His second bar was removed without incident as scheduled during the summer of 2019 with good correction of his pectus defect (Fig. 4A, B).