Title:
|
Eyes wide shut - unusual two stage repair of pectus excavatum and annuloaortic ectasia in a 37 year old marfan patient: Case report
|
Author:
|
Grapow, Martin TR; Campelos, Paula; Barriuso, Clemente; Mulet, Jaume
|
Other authors:
|
Universitat de Barcelona |
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. |
Subject(s):
|
-Tòrax -Malformacions -Estudi de casos -Chest Human abnormalities -Case studies |
Rights:
|
cc-by, (c) Grapow et al., 2011
http://creativecommons.org/licenses/by/2.0/ |
Document type:
|
Article Article - Published version |
Published by:
|
BioMed Central
|
Share:
|
|