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  • Title: Emergent pectus excavatum repair after aortic root replacement in Marfan patient.
    Author: Stephens EH, Preventza O, Sarateanu CS, LeMaire SA, Coselli JS.
    Journal: J Card Surg; 2012 Mar; 27(2):222-4. PubMed ID: 22458279.
    Abstract:
    Chest wall deformities, including pectus excavatum, can complicate cardiac operations by impeding sternal entry and cardiac exposure and by affecting cardiac hemodynamic performance. We describe a patient with Marfan syndrome who underwent elective replacement of an aortic root aneurysm. The patient required a simultaneous, unplanned, emergent repair of her severe pectus excavatum because of hemodynamic instability after sternal closure. The success of this procedure suggests that emergent single-stage repair of pectus excavatum should be considered when median sternotomy closure precipitates hemodynamic instability in such patients.
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