title: Aortic valve-sparing operation after correction of heart displacement due to pectus excavatum using Nuss procedure in a Marfan syndrome patient.
abstract: Cardiovascular surgery in the setting of chest wall deformities is a clinical challenge. Pectus excavatum, for example, can cause heart displacement to the left thoracic cavity, following the poor operative field. This report highlights a case in which a successful aortic valve-sparing operation via conventional median sternotomy after correction of the heart displacement due to pectus excavatum using Nuss procedure in Marfan syndrome. This technique can be one surgical option in Marfan syndrome patients with pectus excavatum and thoracic aortic aneurysm under close follow up.
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan. naotowakimachi@hotmail.co.jp
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Yuzaki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hamakawa
authors.forename: Michihiro
authors.initials: M
authors.lastname: Nasu
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Yukikatsu
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000284:Administration, Oral; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D057911:Angiotensin Receptor Antagonists / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve; D013504:Cardiovascular Surgical Procedures; D005500:Follow-Up Studies; D005660:Funnel Chest / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D059351:Organ Sparing Treatments / Q000379:methods; D011859:Radiography; D012399:Rotation; D056346:Sternotomy; D019616:Thoracic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D057911:Angiotensin Receptor Antagonists