Simultaneous open-heart surgery and pectus deformity correction.
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.
Okay
Tamer
T
Dr Siyami Ersek Thoracic and Cardiovascular Surgery, Training and Research Hospital, Istanbul, Turkey.
Ketenci
Bulend
B
Imamoglu
Oya Uncu
OU
Aydemir
Bulent
B
Tuygun
Abdullah Kemal
AK
Ozay
Batuhan
B
Yapici
Fikri
F
Coruh
Turkan Kutsioglu
TK
Demirtas
Mahmut Murat
MM
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