Surgical Technique for Nuss Bar Exchange Due to Metal Allergy

Minimally invasive repair of pectus excavatum (MIRPE) has become the procedure of choice to treat pectus excavatum. The frequency of complications is variable but remains low on most recent reports. [1,2]. In rare instances such as metal allergy, the bar or bars must be replaced despite adequate an repair. Metal allergy to surgical stainless steel is estimated to occur in 1.2 to 6.6% of patients [3,4]. Reoperation poses a challenge due to adhesions, risk of lung injury, or potential cardiac and aortic injury.