title: Repair of pectus excavatum during HeartMate II left ventricular assist device placement.
abstract: Pectus excavatum deformity often remains clinically asymptomatic even in cases of a severely diminished thoracic volume and frequently remains uncorrected. In the patient population that requires left ventricular assist device (LVAD) placement, a diminished thoracic volume can be problematic and lead to significant challenges in pump and outflow cannula positioning. Here we present a case of pectus excavatum correction during LVAD placement to show that this deformity can be successfully addressed with minimal, if any, additional operative risk at the time of LVAD implant.
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY, USA.
authors.forename: Vakhtang
authors.initials: V
authors.lastname: Tchantchaleishvili
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY, USA todd.massey@ulp.org.
authors.forename: Howard Todd
authors.initials: HT
authors.lastname: Massey
mesh_terms: D000368:Aged; D009202:Cardiomyopathies / Q000150:complications / Q000601:surgery*; D005260:Female; D005660:Funnel Chest / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D021621:Imaging, Three-Dimensional; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed
keywords: Pectus excavatum; Ventricular assist device