Abstract：
This paper reports the case of a female patient who underwent minimally invasive repair of pectus excavatum (MIRPE) in another service that evolved with bar rotation and cardiac perforation caused by the left stabilizer. The unique and frightening aspect of the case is that despite having the stabilizer inside the ventricle, the patient was oligosymptomatic: occasional chest pain and respiratory discomfort. Preoperative imaging showed rotation of the bar with stabilizers within the thoracic cavity. During surgery, intense ossification was observed around the prosthesis and it was noted that the left stabilizer had perforated the patient\'s left ventricle. Cardiac repair required a Clamshell incision and cardiopulmonary bypass. This case reinforces the validity of late radiological follow-up after MIRPE in an attempt to avoid this type of event, and the need to reevaluate the use of stabilizers perpendicular to the bar since they are not safe to prevent rotation of these implants.
摘要：
本文报道了一名女性患者在另一项服务中接受了漏斗胸微创修复（MIRPE）的情况，该服务是由于左稳定器引起的横杆旋转和心脏穿孔而演变而来的。这种情况的独特而可怕的方面是，尽管在心室内有稳定器，患者症状少：偶有胸痛和呼吸不适。术前成像显示在胸腔内具有稳定器的杆旋转。手术期间,在假体周围观察到强烈的骨化，并注意到左稳定器穿孔了患者的左心室。心脏修复需要蛤壳式切口和体外循环。这种情况加强了MIRPE后后期放射学随访的有效性，试图避免这种类型的事件，并且需要重新评估垂直于杆的稳定器的使用，因为它们不安全以防止这些植入物的旋转。
