Abstract
Cardiovascular surgery in the setting of chest wall deformities is a clinical challenge. Pectus excavatum, for example, can cause heart displacement to the left thoracic cavity, following the poor operative field. This report highlights a case in which a successful aortic valve-sparing operation via conventional median sternotomy after correction of the heart displacement due to pectus excavatum using Nuss procedure in Marfan syndrome. This technique can be one surgical option in Marfan syndrome patients with pectus excavatum and thoracic aortic aneurysm under close follow up.
MeSH terms
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Administration, Oral
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Adrenergic beta-Antagonists / therapeutic use
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Adult
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Angiotensin Receptor Antagonists / therapeutic use
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Aortic Aneurysm, Thoracic / diagnosis*
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Aortic Aneurysm, Thoracic / drug therapy
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Valve*
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Cardiovascular Surgical Procedures
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Follow-Up Studies
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Funnel Chest / complications
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Funnel Chest / diagnosis
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Funnel Chest / etiology
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Funnel Chest / surgery*
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Heart / diagnostic imaging*
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Humans
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Male
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Marfan Syndrome / complications*
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Minimally Invasive Surgical Procedures / methods
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Organ Sparing Treatments* / methods
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Radiography
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Rotation
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Sternotomy
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Thoracic Surgical Procedures / methods
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Treatment Outcome
Substances
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Adrenergic beta-Antagonists
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Angiotensin Receptor Antagonists
Supplementary concepts
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Aortic Aneurysm, Familial Thoracic 1