Eyes wide shut--unusual two stage repair of pectus excavatum and annuloaortic ectasia in a 37 year old marfan patient: case report.
J Cardiothorac Surg
; 6: 64, 2011 May 02.
Article
en En
| MEDLINE
| ID: mdl-21535880
ABSTRACT
We report about a 37 year old male patient with a pectus excavatum. The patient was in NYHA functional class III. After performed computed tomography the symptoms were thought to be related to the severity of chest deformation. A Ravitch-procedure had been accomplished in a district hospital in 2009. The crack of a metal bar led to a reevaluation 2010, in which surprisingly the presence of an annuloaortic ectasia (root 73×74 mm) in direct neighborhood of the formerly implanted metal-bars was diagnosed. Echocardiography revealed a severe aortic valve regurgitation, the left ventricle was massively dilated presenting a reduced ejection fraction of 45%. A marfan syndrome was suspected and the patient underwent a valve sparing aortic root replacement (David procedure) in our institution with an uneventful postoperative course. A review of the literature in combination with discussion of our case suggests the application of stronger recommendations towards preoperative cardiovascular assessment in patients with pectus excavatum.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades de la Aorta
/
Procedimientos Quirúrgicos Vasculares
/
Anomalías Múltiples
/
Aneurisma de la Aorta Torácica
/
Procedimientos Ortopédicos
/
Tórax en Embudo
/
Síndrome de Marfan
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Año:
2011
Tipo del documento:
Article