title: Simultaneous open-heart surgery and pectus deformity correction.
abstract: OBJECTIVE
  Pectus deformities and cardiac problems sometimes require simultaneous surgery. We report our experience of performing this surgery and review the relevant literature.
  
  
  METHODS
  We performed simultaneous pectus deformity correction and open-heart surgery in six patients between 1999 and 2006. The pectus deformities were pectus carinatum in one patient and pectus excavatum in five patients. The cardiac problems were coronary artery disease in one patient, an atrioseptal defect (ASD) with a ventricular septal defect (VSD) in one, a VSD in one, mitral valve insufficiency with left atrial dilatation in one, and an ascending aortic aneurysm with aortic valve insufficiency caused by Marfan's syndrome in two. We corrected the pectus deformities using the modified Ravitch's sternoplasty in all patients. First, while the patient was supine, we resected the costal cartilage; then, after completing the cardiac surgery, the sternum was closed and the additional time required for the pectus operation was calculated for each patient. Patients were examined 1, 4, and 6 months postoperatively.
  
  
  RESULTS
  The average operation time was 102 min, and there were no major complications. The pectus bars were removed 4-6 months postoperatively. Good cardiac and cosmetic results were achieved in all patients, who were followed up for 5 years.
  
  
  CONCLUSIONS
  Concomitant pectus deformity correction and open-heart surgery can be performed safely, eliminating the risks of a second operation in a staged procedure.
authors.affiliation: Dr Siyami Ersek Thoracic and Cardiovascular Surgery, Training and Research Hospital, Istanbul, Turkey.
authors.forename: Tamer
authors.initials: T
authors.lastname: Okay
authors.forename: Bulend
authors.initials: B
authors.lastname: Ketenci
authors.forename: Oya Uncu
authors.initials: OU
authors.lastname: Imamoglu
authors.forename: Bulent
authors.initials: B
authors.lastname: Aydemir
authors.forename: Abdullah Kemal
authors.initials: AK
authors.lastname: Tuygun
authors.forename: Batuhan
authors.initials: B
authors.lastname: Ozay
authors.forename: Fikri
authors.initials: F
authors.lastname: Yapici
authors.forename: Turkan Kutsioglu
authors.initials: TK
authors.lastname: Coruh
authors.forename: Mahmut Murat
authors.initials: MM
authors.lastname: Demirtas
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000150:complications / Q000601:surgery*; D006331:Heart Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012121:Respiration, Artificial / Q000706:statistics & numerical data; D013249:Sternum / Q000601:surgery; D019616:Thoracic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome