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Pectus excavatum and cardiac surgery: simultaneous correction advocated.

Joachim Schmidt1, Bassam Redwan1, Volkan Koesek1

  • 1Department of Cardiothoracic Surgery, University Hospital of Muenster, Muenster, Germany.

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Summary

Simultaneous surgical correction of pectus excavatum and open-heart surgery is a safe and effective strategy. This combined approach is recommended for patients with significant pectus excavatum deformity needing cardiac surgery.

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Area of Science:

  • Cardiothoracic Surgery
  • Congenital Heart Disease
  • Thoracic Surgery

Background:

  • Severe pectus excavatum can coexist with cardiac conditions necessitating open-heart surgery.
  • The optimal surgical strategy for this combined presentation remains a subject of debate.

Purpose of the Study:

  • To evaluate the efficacy and safety of simultaneous pectus excavatum correction and open-heart surgery.

Main Methods:

  • A retrospective analysis of patients undergoing concurrent pectus excavatum correction and open-heart surgery.
  • Utilized a modified Ravitch procedure for pectus excavatum repair (mean Haller-Index 5.0).

Main Results:

  • Ten patients (ages 9-70) underwent the combined procedure between 2001 and 2013.
  • Successful completion of all procedures with nil in-hospital and 30-day mortality.
  • Minor postoperative complications in three patients; good cosmetic and functional outcomes achieved.

Conclusions:

  • Simultaneous pectus excavatum correction and cardiac surgery is an effective and reliable approach.
  • Advocates for a combined surgical strategy in patients with significant pectus excavatum undergoing cardiac surgery.