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https://hdl.handle.net/2445/18330
Title: | Eyes wide shut - unusual two stage repair of pectus excavatum and annuloaortic ectasia in a 37 year old marfan patient: Case report |
Author: | Grapow, Martin TR Campelos, Paula Barriuso, Clemente Mulet, Jaume |
Keywords: | Tòrax Malformacions Estudi de casos Chest Human abnormalities Case studies |
Issue Date: | 2-May-2011 |
Publisher: | BioMed Central |
Abstract: | We report about a 37 year old male patient with a pectus excavatum. The patient was in NYHA functional class III. After performed computed tomography the symptoms were thought to be related to the severity of chest deformation. A Ravitch-procedure had been accomplished in a district hospital in 2009. The crack of a metal bar led to a reevaluation 2010, in which surprisingly the presence of an annuloaortic ectasia (root 73 × 74 mm) in direct neighborhood of the formerly implanted metal-bars was diagnosed. Echocardiography revealed a severe aortic valve regurgitation, the left ventricle was massively dilated presenting a reduced ejection fraction of 45%. A marfan syndrome was suspected and the patient underwent a valve sparing aortic root replacement (David procedure) in our institution with an uneventful postoperative course. A review of the literature in combination with discussion of our case suggests the application of stronger recommendations towards preoperative cardiovascular assessment in patients with pectus excavatum. |
Note: | Reproducció del document publicat a: http://dx.doi.org/10.1186/1749-8090-6-64 |
It is part of: | Journal of Cardiothoracic Surgery, 2011, 6:64 |
URI: | https://hdl.handle.net/2445/18330 |
Related resource: | http://dx.doi.org/10.1186/1749-8090-6-64 |
ISSN: | 1749-8090 |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) |
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1749-8090-6-64.pdf | 1.69 MB | Adobe PDF | View/Open |
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