Emergent pectus excavatum repair after aortic root replacement in Marfan patient

J Card Surg. 2012 Mar;27(2):222-4. doi: 10.1111/j.1540-8191.2012.01429.x.


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.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm / etiology
  • Aortic Aneurysm / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Female
  • Funnel Chest / etiology
  • Funnel Chest / surgery*
  • Humans
  • Hypotension / etiology
  • Hypotension / surgery*
  • Marfan Syndrome / complications*
  • Postoperative Complications / surgery*
  • Sternotomy*
  • Young Adult