case_images: PMC6864329_01
case_images: A, Preoperative photograph of chest showing pectus defect. B, Preoperative computerized tomography of the chest showing pectus excavatum deformity.
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case_images: 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).
case_images: 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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case_images: 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).
case_images: 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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case_images: 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).
case_images: A, Anteroposterior chest radiograph after planned removal of final bar. B, Postoperative photograph of chest.
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case_images: His second bar was removed without incident as scheduled during the summer of 2019 with good correction of his pectus defect (Fig. 4A, B).