Reoperation for a Congenital Heart Defect and Simultaneous Repair for a Severe Form of Pectus Excavatum
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A 12-year-old boy was referred for treatment of severe mitral regurge. The boy had already undergone two previous operations. A reduced exercise capacity was measured. Lung function was severely affected and exhibited a reduced forced vital capacity. Because access to the heart after previous surgery together with the severe chest malformation required a sternotomy, the authors opted for a simultaneous chest wall reconstruction as in a Ravitch repair.
KeywordsChest malformationm Congenital heart disease Congenital heart surgery Pectus excavatum Ravitch repair
Movie Clip 1 Intraoperative footage showing the severe chest malformation and a transverse skin incision just below the nipples (WMV 3218 kb)
Movie Clip 2 Intraoperative footage showing mobilization of the muscle layers to expose the deformed lower costal cartilages before sternotomy (WMV 4687 kb)
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