Late Complication of a Silastic Prosthetic Correction of Pectus Excavatum

Late Complication of a Silastic Prosthetic Correction of Pectus Excavatum

Late Complication of a Silastic Prosthetic Correction of Pectus Excavatum Pierre-Yves Brichon, MD, Emmanuel Cochet, MD, Sebastien Guigard, MD, and Phi...

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Late Complication of a Silastic Prosthetic Correction of Pectus Excavatum Pierre-Yves Brichon, MD, Emmanuel Cochet, MD, Sebastien Guigard, MD, and Philippe Chaffanjon, MD Department of Thoracic Surgery, Hôpital Universitaire de Grenoble, Grenoble, France

Fig 3. Fig 1. FEATURE ARTICLES Fig 2.

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47-year-old man was referred for anterior chest wall swelling (Fig 1). When he was 18 years old, he sustained correction of a severe funnel chest with a prosthetic device for cosmetic reasons and 350 g of Silastic liquid was subcutaneously cast. The result was

Address correspondence to Dr Brichon, Department of Thoracic Surgery, Hôpital Universitaire A. Michallon, La Tronche, 38700 France; e-mail: [email protected]

© 2011 by The Society of Thoracic Surgeons Published by Elsevier Inc

satisfactory during the following 29 years, without any side effects. After hospital admission, a computed tomographic scan revealed a periprosthetic collection (Fig 2). The prosthesis was surgically removed (Fig 3) with resection of the prosthesis residue embedded into the pectoralis muscles. Bacterial and fungal cultures were negative. The pectus deformity recurred, but it did not interfere with his well being.

Ann Thorac Surg 2011;92:1906 • 0003-4975/$36.00 doi:10.1016/j.athoracsur.2011.04.013