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  • Title: Combined severe pectus excavatum correction and aortic root replacement in Marfan's syndrome.
    Author: Javangula KC, Batchelor TJ, Jaber O, Watterson KG, Papagiannopoulos K.
    Journal: Ann Thorac Surg; 2006 May; 81(5):1913-5. PubMed ID: 16631712.
    Abstract:
    A 23-year-old man with Marfan's syndrome was admitted for repair of annulo-aortic ectasia and severe pectus excavatum. A submammary skin incision approach followed by bilateral subperichondrial resection of abnormal costal cartilages was performed. The left intercostal muscles and perichondrial sheaths were divided 2 inches lateral to the sternum in a parasternal fashion to place the retractor. The aortic root was replaced with a 23-mm St. Jude's composite graft (St. Jude Medical, Inc, St. Paul, MN). Chest wall reconstruction was completed with a high sternal osteotomy and support of the sternum was made with Gortex strips (W.L. Gore & Associates, Inc, Flagstaff, AZ). The patient made an uneventful recovery.
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