Combined repair of pectus excavatum and coronary artery bypass grafting

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Congenital Heart Surgery

Background:

• Severe pectus excavatum poses significant surgical challenges for coronary artery bypass grafting (CABG).
• Traditional approaches include staged corrections or alternative myocardial revascularization routes like left lateral thoracotomy for urgent cases.

Observation:

• A one-stage surgical repair combining severe pectus excavatum correction and CABG was performed in a young patient.
• Bilateral internal thoracic arteries were utilized during the myocardial revascularization procedure.

Findings:

• The one-stage approach successfully addressed both the sternal deformity and the urgent need for myocardial revascularization.
• This technique demonstrates feasibility and offers a potential solution for complex cardiac and thoracic conditions.

Implications:

• This combined one-stage surgery may be a valuable alternative for select patients with severe pectus excavatum requiring urgent CABG.
• Further research into the long-term outcomes and broader applicability of this technique is warranted.