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Combined Repair of Pectus Excavatum and Open Heart Surgery in Marfan's Syndrome  

신제균 (울산대학교병원 흉부외과)
정종필 (울산대학교병원 흉부외과)
이용직 (서울아산병원 흉부외과)
Publication Information
Journal of Chest Surgery / v.35, no.7, 2002 , pp. 556-559 More about this Journal
Abstract
The presense of pectus excavatum in Marfan's syndrome may complicate cardiac operation by making midline sternotomy technically more difficult and limiting the operative exposure of the heart. We operated on a 33 year old male patient with Marfan's syndrome and severe pectus excavatum who had severe mitral regurgitation and moderate aortic regurgitation with 52mm aortic root dilation. The operative field was adequately exposed through a midline sternal incision with two sternal retactors. The patient underwent Bentall operation and mitral valve replacement. The repair of pectus excavatum was performed after completion of CPB and the administration of protamin. Permanent internal stabilization achieved by overlapping of the ends of lower ribs and reinforced with sternal closure wire.
Keywords
Funnel chest; Marfan's syndrome;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
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