Combined severe pectus excavatum correction and aortic root replacement in Marfan's syndrome.

Javangula, Kalyana C; Batchelor, Timothy J P; Jaber, Osama; Watterson, Kevin G; Papagiannopoulos, Kostas · Ann Thorac Surg · 2006

case_report · Level V

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Abstract

A 23-year-old man with Marfan's syndrome was admitted for repair of annulo-aortic ectasia and severe pectus excavatum. A submammary skin incision approach followed by bilateral subperichondrial resection of abnormal costal cartilages was performed. The left intercostal muscles and perichondrial sheaths were divided 2 inches lateral to the sternum in a parasternal fashion to place the retractor. The aortic root was replaced with a 23-mm St. Jude's composite graft (St. Jude Medical, Inc, St. Paul, MN). Chest wall reconstruction was completed with a high sternal osteotomy and support of the sternum was made with Gortex strips (W.L. Gore & Associates, Inc, Flagstaff, AZ). The patient made an uneventful recovery.

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