The Nuss procedure for surgical correstion of pectus excavatum involves passing a curved Nuss bar underneath the concave anterior chest wall. The bar is then rotated, to create and support a convex chest wall shape, before being sututed in place.
Complications of the procedure that radiologists need to be aware of include pneumothorax (up to 50%), haemothorax, pelural effsuion and fracture of migration of the Nuss bar.1 Pericarditis and pneumonia are uncommon. Since the procedure is performed with thoracoscopy, complications are usually avoided at the time of surgery or are minimal.
The procedure was first described by Dr Donald Nuss in 1987, a US paediatric surgeon in Virginia.