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Hybrid repair of pectus excavatum and congenital heart disease: A case report.

Abstract Pectus excavatum (PE) in the setting of congenital heart disease is not uncommon. The surgical strategy has evolved over the last 20 years from a staged approach to simultaneous repair of both defects.
PMID
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Simultaneous repair of congenital heart defect and pectus excavatum.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390594
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Hybrid repair of pectus excavatum and congenital heart disease: A case report.
PG  - e9503
LID - 10.1097/MD.0000000000009503 [doi]
AB  - RATIONALE: Pectus excavatum (PE) in the setting of congenital heart disease is
      not uncommon. The surgical strategy has evolved over the last 20 years from a
      staged approach to simultaneous repair of both defects. PATIENT CONCERNS: A
      3-year-old boy was admitted for elective repair of PE and atrial septal defect
      (ASD). DIAGNOSES: Clinically, there were obvious features of PE and a grade 2
      systolic murmur heard loudest at the 2nd intercostal space abutting the left
      sternal border. Echocardiography confirmed the presence of a secundum-type ASD.
      Following discussions with the family, consent was obtained and the patient
      underwent concomitant surgery for both defects. The ASD was first device-closed
      under the guidance of transesophageal echocardiography (TEE) and then a standard 
      Nuss procedure was performed with an 8-inch bar. OUTCOMES: Postoperative
      echocardiography confirmed a satisfactory device closure of the ASD. The repair
      of PE was considered satisfactory on physical examination and with chest
      radiography. The postoperative course was uneventful except for atelectasis of
      the right upper lobe. The patient was discharged 10 days postoperatively.
      LESSONS: This case suggests that in carefully selected cases with concomitant PE 
      and ASD, a combination of Nuss procedure and TEE-guided transcatheter device
      closure can be safely performed with less physical and no radiation trauma and
      theoretically better aesthetic effects and surgical outcome.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Deng, Xicheng
AU  - Deng X
AD  - Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.
FAU - Huang, Peng
AU  - Huang P
AD  - Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.
FAU - Yi, Liwen
AU  - Yi L
AD  - Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.
FAU - Yang, Xiaohui
AU  - Yang X
AD  - Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.
FAU - He, Cheng
AU  - He C
AD  - Department of Cardiothoracic Surgery, Alfred Hospital, Melbourne, Victoria,
      Australia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Child, Preschool
MH  - Echocardiography
MH  - Funnel Chest/complications/*surgery
MH  - Heart Septal Defects, Atrial/complications/diagnostic imaging/*surgery
MH  - Humans
MH  - Male
PMC - PMC5758296
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009503 [doi]
AID - 00005792-201712220-00181 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9503. doi: 10.1097/MD.0000000000009503.