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A 25-year-old man presented with acute pleuritic chest pain and dyspnoea with type I respiratory failure. Past medical history comprised of mild asthma and surgical correction of pectus excavatum 9 years prior by elevation of the sternum and stabilization over a Lorenz Pectus bar. Examination demonstrated tachypnoea, pan-systolic murmur at the left lower sternal edge and giant V-wave jugular venous …

Intra-cardiac erosion of a pectus bar