title: Emergent pectus excavatum repair after aortic root replacement in Marfan patient.
abstract: Chest wall deformities, including pectus excavatum, can complicate cardiac operations by impeding sternal entry and cardiac exposure and by affecting cardiac hemodynamic performance. We describe a patient with Marfan syndrome who underwent elective replacement of an aortic root aneurysm. The patient required a simultaneous, unplanned, emergent repair of her severe pectus excavatum because of hemodynamic instability after sternal closure. The success of this procedure suggests that emergent single-stage repair of pectus excavatum should be considered when median sternotomy closure precipitates hemodynamic instability in such patients.
authors.affiliation: Texas Heart Institute at St. Luke's Episcopal Hospital, and Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Stephens
authors.forename: Ourania
authors.initials: O
authors.lastname: Preventza
authors.forename: Cristian S
authors.initials: CS
authors.lastname: Sarateanu
authors.forename: Scott A
authors.initials: SA
authors.lastname: LeMaire
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Coselli
mesh_terms: D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005660:Funnel Chest / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000601:surgery*; D008382:Marfan Syndrome / Q000150:complications*; D011183:Postoperative Complications / Q000601:surgery*; D056346:Sternotomy; D055815:Young Adult