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Ann Thorac Surg 1997;64:557-559
© 1997 The Society of Thoracic Surgeons

Case Reports

Simultaneous Repair of Pectus Excavatum and Congenital Heart Disease

Maryann M. DeLeon, MD, Kathy E. Magliato, MD, Patrick T. Roughneen, MD, Lynn Graham, RN, Theresa M. Kudukis, MD, Serafin Y. DeLeon, MD

Departments of Thoracic-Cardiovascular Surgery and Pediatrics, Loyola University Medical School, Maywood, Illinois

Accepted for publication March 28, 1997.

Most repair of heart lesions and pectus deformity has been performed in adult patients using long incisions, sternal splits, excision of deformed cartilages, and sternal turnover operations that could result in poor cosmesis and chest growth in children because of sternal devascularization. We performed simultaneous pectus repair and atrial septal defect closure in 2 children using a short longitudinal incision and avoiding a transverse or longitudinal sternal split. After extraperichondrial excision of the deformed cartilages and mobilization of the sternum from the neurovascular bundles, a transverse wedge of sternum was removed at the level of the third cartilages, allowing cephalad retraction of the sternum and providing excellent exposure for the intracardiac operation. The cosmetic appearance remains excellent in both patients at 1 and 4 years postoperatively.




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