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KMID : 0364019950280010065
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 1 p.65 ~ p.68
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One Stage Correction of the Pectus Excavatum with Marfan Syndrome
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Abstract
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Pectus excavatum occasionally occurs in patients who have underlying cardiac disease, especially Marfan syndrome. This report describes a patient with pectus excavatum who had ascending aortic aneurysm with aortic regurgitation and anterior
leaflet
prolaps of mitral valve. This patient underwent replacement of aortic valve and ascending aorta with 25 mm SJM valved conduit graft (Bentall operation with Cabrol shunt), and mitral valve replacement with SJM 31 mm, the pectus excavatum was
corrected at
the time of completion of the intracardiac operation with the modified sternal sternal turnover.
This procedure offered excellent operative exposure for the inracardiac operation with prevention of low cardiac output after operation due to depressed sternum and maintained chest wall stability resulting good cosmetic chest wall appearance.
This
patient recovered and discharged in good postoperative result with minimal temporary peroneal nerve palsy in his left leg.
(Korean J Thoracic Cardiovas Surg 1995;28:65-8)
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