Suture repair of pectus excavatum at the time of cardiac surgery on an infant.
An 11-month-old girl was diagnosed with pulmonary atresia with intact ventricular septum and symmetrical pectus excavatum that had developed after prior palliative operation. We performed a transannular patch repair and atrial septal defect closure. Simultaneously, to prevent postoperative right ventricular outflow tract compression, the sternum was elevated by two 1-0 braided polyester horizontal mattress sutures on the posterior side of the third and fourth costal cartilages. Postoperative respiratory distress did not occur and her hemodynamics was stable. Four months later, she is alive and well without recurrence of the thoracic deformity.
Takabayashi
Shin
S
Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan. shin1111@clin.medic.mie-u.ac.jp
Yokoyama
Kazuto
K
Ohashi
Hiroyuki
H
Mitani
Yoshihide
Y
Shimpo
Hideto
H
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000209:etiology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007223:Infant; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D018570:Risk Assessment; D013536:Suture Techniques; D016896:Treatment Outcome