Simultaneous Surgical Correction of Pectus Excavatum and Cardiac Disease in Two Adults

Abstract

Thoracic reconstruction in patients with pectus excavatum with concomitant cardiac or aortic surgery poses a major clinical challenge. The report describes two cases of adult patients undergoing simultaneous surgical correction of cardiac disease and sternal deformity using one of two different techniques: a sterno-turnover method preserving the rectus muscle or a sternal elevation method with A-O plates.

Keywords

funnel chest - cardiac surgery

• References

• 1 Ryu YG, Baek MJ, Kim HK, Choi YH, Sohn YS, Kim HJ. Simultaneous repair for aortic incompetence with annuloaortic ectasia and pectus excavatum by modified Ravitch procedure with pectus bars in an adult patient with Marfan syndrome. J Thorac Cardiovasc Surg 2009; 137 (1) e34-e36
• 2 Oki S, Misawa Y, Fuse K. A repair of funnel chest without sternal dissection in aortic root replacement. Eur J Cardiothorac Surg 2003; 23 (1) 109-111
• 3 Pevni D, Lev-Ran O, Shapira I, Mohr R. Combined repair of pectus excavatum and coronary artery bypass grafting. Eur J Cardiothorac Surg 2000; 17 (4) 495-497
• 4 Ravitch MM. Repair of pectus excavatum in children under 3 years of age: a twelve-year experience. Ann Thorac Surg 1977; 23 (4) 301
• 5 Haller Jr JA, Colombani PM, Humphries CT, Azizkhan RG, Loughlin GM. Chest wall constriction after too extensive and too early operations for pectus excavatum. Ann Thorac Surg 1996; 61 (6) 1618-1624 , discussion 1625
• 6 Iida H, Sunazawa T, Ishida K, Doi A. Surgical repair of pectus excavatum not requiring exogenous implants in 113 patients. Eur J Cardiothorac Surg 2010; 37 (2) 316-321