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Pediatric Cardiology

, Volume 32, Issue 2, pp 232–233 | Cite as

Reoperation for a Congenital Heart Defect and Simultaneous Repair for a Severe Form of Pectus Excavatum

  • Christian SchreiberEmail author
  • Jürgen Hörer
  • Sohrab Fratz
  • Alfred Hager
  • Stephan Kellnar
Case Report
  • 118 Downloads

Abstract

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.

Keywords

Chest malformationm Congenital heart disease Congenital heart surgery Pectus excavatum Ravitch repair 

Supplementary material

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)

References

  1. 1.
    Davis JT, Weinstein S (2004) Repair of the pectus deformity: results of the Ravitch approach in the current era. Ann Thorac Surg 78:421–426CrossRefPubMedGoogle Scholar
  2. 2.
    Loeys BL, Chen J, Neptune ER, Judge DP, Podowski M, Holm T, Meyers J, Leitch CC, Katsanis N, Sharifi N, Xu FL, Myers LA, Spevak PJ, Cameron DE, Backer JD, Hellemans J, Chen Y, Davis EC, Webb CL, Kress W, Coucke P, Rifkin DB, Paepe AMD, Dietz HC (2005) A syndrome of altered cardiovascular, craniofacial, neurocognitive, and skeletal development caused by mutations in TGFBR1 or TGFBR2. Nat Genet 37:275–281CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Christian Schreiber
    • 1
    Email author
  • Jürgen Hörer
    • 1
  • Sohrab Fratz
    • 3
  • Alfred Hager
    • 3
  • Stephan Kellnar
    • 2
  1. 1.Department of Cardiovascular SurgeryDeutsches Herzzentrum München, Technische Universität MünchenMunichGermany
  2. 2.Department of Pediatric SurgeryKrankenhaus Dritter OrdenMunichGermany
  3. 3.Department of Pediatric Cardiology and Congenital Heart DiseaseDeutsches Herzzentrum München, Technische Universität MünchenMunichGermany

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