Simultaneous open-heart surgery and pectus deformity correction
Autor: | T. Coruh, Batuhan Ozay, Bülent Aydemir, Fikri Yapici, Tamer Okay, Bülend Ketenci, Oya Imamoglu, Abdullah Kemal Tuygun, Mahmut Murat Demirtas |
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Rok vydání: | 2008 |
Předmět: |
Adult
Male Sternum medicine.medical_specialty Heart Diseases Atrial septal defects Coronary artery disease Aortic aneurysm Postoperative Complications Pectus excavatum Mitral valve medicine Humans Child business.industry General Medicine Length of Stay Middle Aged Thoracic Surgical Procedures medicine.disease Costal cartilage Respiration Artificial Cardiac surgery Surgery Treatment Outcome medicine.anatomical_structure Funnel Chest cardiovascular system Pectus carinatum Female business Follow-Up Studies |
Zdroj: | Surgery Today. 38:592-596 |
ISSN: | 1436-2813 0941-1291 |
Popis: | Pectus deformities and cardiac problems sometimes require simultaneous surgery. We report our experience of performing this surgery and review the relevant literature. We performed simultaneous pectus deformity correction and open-heart surgery in six patients between 1999 and 2006. The pectus deformities were pectus carinatum in one patient and pectus excavatum in five patients. The cardiac problems were coronary artery disease in one patient, an atrioseptal defect (ASD) with a ventricular septal defect (VSD) in one, a VSD in one, mitral valve insufficiency with left atrial dilatation in one, and an ascending aortic aneurysm with aortic valve insufficiency caused by Marfan’s syndrome in two. We corrected the pectus deformities using the modified Ravitch’s sternoplasty in all patients. First, while the patient was supine, we resected the costal cartilage; then, after completing the cardiac surgery, the sternum was closed and the additional time required for the pectus operation was calculated for each patient. Patients were examined 1, 4, and 6 months postoperatively. The average operation time was 102 min, and there were no major complications. The pectus bars were removed 4–6 months postoperatively. Good cardiac and cosmetic results were achieved in all patients, who were followed up for 5 years. Concomitant pectus deformity correction and open-heart surgery can be performed safely, eliminating the risks of a second operation in a staged procedure. |
Databáze: | OpenAIRE |
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