Near-fatal bleeding after transmyocardial ventricle lesion during removal of the pectus bar after the Nuss procedure

a rib segment to an intact portion of the same or adjacent ribs. Our patient’s injuries precluded other described techniques owing to the lack of intact structures to anchor stabilizing components. Our novel use of Nuss bars enabled us to create a viable superstructure to suspend the chest wall and allow full re-expansion of the lung. This technique will be useful in patients whose severity of injury precludes stabilization by previously described methods. We corresponded with Dr Donald Nuss for his thoughts. He wrote