[Stanford type a acute aortic dissection with pectus excavatum].
Kyobu Geka
; 65(12): 1053-6, 2012 Nov.
Article
em Ja
| MEDLINE
| ID: mdl-23117357
ABSTRACT
Pectus excavatum is generally an isolated abnormality of the chest wall. However, some patients have a concomitant pectus deformity and cardiac & aortic disease. Decisions must be made regarding the operative approach and whether the pectus excavatum should be corrected during the same session. We report 2 patients with acute Stanford type A aortic dissection and pectus excavatum who underwent emergency operation. In case 1, median sternotomy is an unsuitable approach for open heart surgery, since the heart and great vessels are displace into the left hemithorax. But combined sternotomy and left anterior thoracotomy provided excellent surgical exposure. In case 2, we proceeded with a leftsided costotomy of four ribs and place a normal chest retractor providing as excellent exposure as combined sternotomy and left anterior thoracotomy. A left-sided costotomy of four ribs can be performed safely, eliminating the risks of median sternotomy in acute stanford type A aortic dissection with pectus excavatum.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Aneurisma da Aorta Torácica
/
Tórax em Funil
/
Dissecção Aórtica
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Ano de publicação:
2012
Tipo de documento:
Article