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Ann Thorac Surg 2004;77:1827-1829
© 2004 The Society of Thoracic Surgeons

Case report

Simultaneous repair of pectus excavatum and congenital heart defect in adults by using the convex bar

Toru Okamura, MDa*, Yuzo Nagase, MDa, Fujio Mitsui, MDa, Masao Shibairi, MDa, Kazuo Utsumi, MDa, Hiroshi Watanabe, MDa

a Department of Cardiovascular Surgery, Matsudo City Hospital, Chiba, Japan

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Okamura, Department of Cardiovascular Surgery, Matsudo City Hospital, 4005 Kamihongo, Matsudo, Chiba 271-8511, Japan
e-mail: tokamura{at}rr.iij4u.or.jp

Simultaneous repair of pectus excavatum and cardiac lesions remains technically difficult. In adults, most repairs of pectus deformity and heart lesions have been performed through long incisions, sternal splits, excision of deformed cartilages, and sternal turnover, which can result in poor cosmetic appearance because of sternal devascularization. We performed concomitant repair of pectus excavatum and an atrial septal defect through a short midline incision in an adult. The sternum was fixed by using absorbable plates and screws and was supported by a convex steel bar. The cosmetic appearance remained excellent after the operation. The technique and a review of the literature are included.






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