title: Simultaneous repair of pectus excavatum and tetralogy of fallot: report of a case.
abstract: We report an 18-month-old boy with the association of pectus excavatum and tetralogy of Fallot (TOF). We successfully performed simultaneous pectus repair using sternal elevation without any prosthetic support and total correction of TOF after a prior modified Blalock-Taussig shunt. Retracting a divided costo-sternal complex with a rectus abdominal flap away from the operative field before the cardiac operation provided excellent surgical exposure. The modified Blalock-Taussig shunt prior to the combined repair prevented life-threatening hypoxic spells during dissection of the deformed sternum and costochondral cartilages before institution of cardiopulmonary bypass.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido Children's Hospital and Medical Center, Otaru, Japan.
authors.forename: Seiya
authors.initials: S
authors.lastname: Kikuchi
authors.forename: Akira
authors.initials: A
authors.lastname: Ingu
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Ito
mesh_terms: D006348:Cardiac Surgical Procedures; D005660:Funnel Chest / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D013249:Sternum / Q000601:surgery; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery*