title: Combined severe pectus excavatum correction and aortic root replacement in Marfan's syndrome.
abstract: A 23-year-old man with Marfan's syndrome was admitted for repair of annulo-aortic ectasia and severe pectus excavatum. A submammary skin incision approach followed by bilateral subperichondrial resection of abnormal costal cartilages was performed. The left intercostal muscles and perichondrial sheaths were divided 2 inches lateral to the sternum in a parasternal fashion to place the retractor. The aortic root was replaced with a 23-mm St. Jude's composite graft (St. Jude Medical, Inc, St. Paul, MN). Chest wall reconstruction was completed with a high sternal osteotomy and support of the sternum was made with Gortex strips (W.L. Gore & Associates, Inc, Flagstaff, AZ). The patient made an uneventful recovery.
authors.affiliation: Department of Cardiothoracic Surgery, Leeds General Infirmary, Leeds, United Kingdom. kalyanachakravarthi@hotmail.com
authors.forename: Kalyana C
authors.initials: KC
authors.lastname: Javangula
authors.forename: Timothy J P
authors.initials: TJ
authors.lastname: Batchelor
authors.forename: Osama
authors.initials: O
authors.lastname: Jaber
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Watterson
authors.forename: Kostas
authors.initials: K
authors.lastname: Papagiannopoulos
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000473:pathology*; D001022:Aortic Valve Insufficiency / Q000453:epidemiology / Q000601:surgery*; D015897:Comorbidity; D004108:Dilatation, Pathologic; D005660:Funnel Chest / Q000453:epidemiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000453:epidemiology / Q000601:surgery*; D010027:Osteotomy; D013249:Sternum / Q000601:surgery