Pectus Bar Displacement Causing Right Ventricular Outflow Tract Obstruction.

Pectus excavatum is the most common congenital anomaly of the chest wall. Surgical management of this problem has evolved to encompass many modifications of Dr Ravitch's initial groundbreaking repair to include the insertion of mesh, metal struts, and bars to bolster the repair through open and minimally invasive approaches. This report presents a case of right ventricular outflow tract obstruction from a dislodged pectus bar after a modified Ravitch procedure. The presentation, diagnosis, and management of this exceedingly rare complication are described, and the discussion also provides clinical pearls and inspiration for future research directions that are based on this experience.