Intra-abdominal pectus bar migration – a rare clinical entity: case reportReport as inadecuate

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Journal of Cardiothoracic Surgery

, 3:39

First Online: 03 July 2008Received: 17 April 2008Accepted: 03 July 2008


We present the case of a 20-year-old male who underwent successful surgical correction of pectus excavatum with the Highly Modified Ravitch Repair HMRR. At 29 months the attempted operative removal of the Ravitch bar was unsuccessful despite the impression of adequate bar location on chest x-ray. Subsequent imaging with computed tomography was unclear in determining whether the bar was supra or infra-diaphragmatic due to the tissue distortion subsequent to initial surgery. Video assisted thoracoscopic surgery VATS successfully retrieved the bar and revealed that it was not in the thorax, but had migrated to the intra-abdominal bare area of the liver, with no evidence of associated diaphragmatic defect or hernia. Intra-abdominal pectus bar migration is a rare clinical entity, and safe removal can be facilitated by the use of the VATS technique.

Electronic supplementary materialThe online version of this article doi:10.1186-1749-8090-3-39 contains supplementary material, which is available to authorized users.

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Author: Ramon Tahmassebi - Hutan Ashrafian - Caner Salih - Ranjit P Deshpande - Thanos Athanasiou - Julian E Dussek



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