Combined repair of pectus excavatum and coronary artery bypass grafting.
Coronary artery bypass grafting (CABG) in patients with severe pectus excavatum is a surgical challenge. A two-stage correction of sternal deformities and cardiac lesions has been described and myocardial revascularization through a left lateral thoracotomy is a valid alternative in urgent situations. We report a one-stage repair of severe pectus excavatum and CABG with the use of bilateral internal thoracic arteries in a young patient requiring urgent myocardial revascularization. The technical aspects and operative consideration are discussed.
Pevni
D
D
Department of Thoracic and Cardiovascular Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, Tel-Aviv, Israel.
Lev-Ran
O
O
Shapira
I
I
Mohr
R
R
D001026:Coronary Artery Bypass / Q000379:methods*; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D012720:Severity of Illness Index; D013895:Thoracic Arteries / Q000637:transplantation*