title: Simultaneous repair of pectus excavatum and congenital heart defect in adults by using the convex bar.
abstract: Simultaneous repair of pectus excavatum and cardiac lesions remains technically difficult. In adults, most repairs of pectus deformity and heart lesions have been performed through long incisions, sternal splits, excision of deformed cartilages, and sternal turnover, which can result in poor cosmetic appearance because of sternal devascularization. We performed concomitant repair of pectus excavatum and an atrial septal defect through a short midline incision in an adult. The sternum was fixed by using absorbable plates and screws and was supported by a convex steel bar. The cosmetic appearance remained excellent after the operation. The technique and a review of the literature are included.
authors.affiliation: Department of Cardiovascular Surgery, Matsudo City Hospital, Matsudo, Chiba, Japan. tokamura@rr.iij4u.or.jp
authors.forename: Toru
authors.initials: T
authors.lastname: Okamura
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Nagase
authors.forename: Fujio
authors.initials: F
authors.lastname: Mitsui
authors.forename: Masao
authors.initials: M
authors.lastname: Shibairi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Utsumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Watanabe
mesh_terms: D001860:Bone Plates; D002356:Cartilage / Q000601:surgery; D005260:Female; D005660:Funnel Chest / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010027:Osteotomy; D019736:Prostheses and Implants; D013249:Sternum / Q000601:surgery; D014057:Tomography, X-Ray Computed