title: Combined Nuss Procedure and Cardiac Procedure Through a Left Anterolateral Thoracotomy.
abstract: Aortic root aneurysms associated with severe pectus excavatum caused by Marfan's syndrome can be challenging to correct in children. Recent reports suggest single-stage correction of both cardiac and chest wall deformities through a median sternotomy. We report a 9-year-old girl with Marfan's syndrome, an ascending aorta aneurysm, mitral regurgitation, and pectus excavatum, who underwent David's procedure with mitral valve repair and the Nuss procedure to correct the thoracic deformity. This single-stage combined procedure was performed through a left anterolateral thoracotomy. This surgical approach offers easy access to the heart and aorta, has good cosmetic results, and avoids a midline skin incision.
authors.affiliation: Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, University of Bordeaux, Bordeaux, France. Electronic address: francois.roubertie@chu-bordeaux.fr.
authors.forename: François
authors.initials: F
authors.lastname: Roubertie
authors.affiliation: Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, University of Bordeaux, Bordeaux, France.
authors.forename: Sowmya
authors.initials: S
authors.lastname: Ramanan
authors.affiliation: Department of Pediatric Surgery, Pellegrin-Enfant Hospital, University of Bordeaux, Bordeaux, France.
authors.forename: Frederic
authors.initials: F
authors.lastname: Lavrand
authors.affiliation: Department of Pediatric Cardiology, Bordeaux Heart University Hospital, University of Bordeaux, Bordeaux, France.
authors.forename: Jean-Benoit
authors.initials: JB
authors.lastname: Thambo
mesh_terms: D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D005260:Female; D005660:Funnel Chest / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013908:Thoracotomy