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

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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.

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Fig. 1
Fig. 2

References

  1. Davis JT, Weinstein S (2004) Repair of the pectus deformity: results of the Ravitch approach in the current era. Ann Thorac Surg 78:421–426

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Deutsches Herzzentrum München, Technische Universität München, Lazarettstrasse, 36, 80636, Munich, Germany

    Christian Schreiber & Jürgen Hörer

  2. Department of Pediatric Surgery, Krankenhaus Dritter Orden, Franz-Schrank-Strasse 8, 80638, Munich, Germany

    Stephan Kellnar

  3. Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technische Universität München, Lazarettstrasse 36, 80636, Munich, Germany

    Sohrab Fratz & Alfred Hager

Authors
  1. Christian Schreiber
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  2. Jürgen Hörer
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  3. Sohrab Fratz
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  4. Alfred Hager
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  5. Stephan Kellnar
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Corresponding author

Correspondence to Christian Schreiber.

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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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Schreiber, C., Hörer, J., Fratz, S. et al. Reoperation for a Congenital Heart Defect and Simultaneous Repair for a Severe Form of Pectus Excavatum. Pediatr Cardiol 32, 232–233 (2011). https://doi.org/10.1007/s00246-010-9851-1

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  • DOI: https://doi.org/10.1007/s00246-010-9851-1

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