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Reducing cardiac injury during minimally invasive repair of pectus excavatum

Department of Thoracic Surgery, Royal Brompton Hospital, Sydney Street, London SW3 6NP, United Kingdom

Received 24 October 2007; received in revised form 11 January 2008; accepted 16 January 2008.

^_* Corresponding author. Tel.: +44 20 73518559; fax: +44 20 73518560. (Email: p.goldstraw{at}rbht.nhs.uk).

Minimally invasive repair of pectus excavatum (MIRPE) provides a minimal access approach to correct pectus excavatum deformities. Cardiovascular complications represent a rare but catastrophic complication of this cosmetic operation. We describe a modification to the technique following a case of cardiac puncture.

Key Words: Pectus excavatum • Minimally invasive surgery • Echocardiography