title: Orthotopic cardiac transplantation in a patient with pectus excavatum: approach via left anterior thoracotomy.
abstract: Severe pectus excavatum, although a rare condition, is likely to be encountered by large transplant centers. The main concerns for transplant centers are the associated cardiopulmonary abnormalities along with the technical details of the transplant. We describe our experience managing a patient with severe pectus excavatum with associated cardiorespiratory abnormalities. This case report demonstrates that orthotopic cardiac transplantation through a left anterior thoracotomy is a feasible method in patients with significant displacement of the heart into the left chest.
authors.affiliation: Division of Cardiac Surgery, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Danny
authors.initials: D
authors.lastname: Ramzy
authors.forename: Vivek
authors.initials: V
authors.lastname: Rao
authors.forename: Diego H
authors.initials: DH
authors.lastname: Delgado
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Ross
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Cusimano
mesh_terms: D000328:Adult; D002315:Cardiopulmonary Bypass; D005541:Forced Expiratory Volume; D005660:Funnel Chest / Q000150:complications; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D016027:Heart Transplantation / Q000379:methods; D006801:Humans; D008171:Lung Diseases / Q000209:etiology / Q000503:physiopathology; D008297:Male; D013908:Thoracotomy / Q000379:methods; D014109:Total Lung Capacity; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000601:surgery