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Case Reports

Suture Repair of Pectus Excavatum at the Time of Cardiac Surgery on an Infant

^a Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan
^b Department of Pediatrics, Mie University Graduate School of Medicine, Tsu, Mie, Japan

Accepted for publication August 13, 2007.

^_* Address correspondence to Dr Takabayashi, Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie 514-8507, Japan (Email: shin1111{at}clin.medic.mie-u.ac.jp).

An 11-month-old girl was diagnosed with pulmonary atresia with intact ventricular septum and symmetrical pectus excavatum that had developed after prior palliative operation. We performed a transannular patch repair and atrial septal defect closure. Simultaneously, to prevent postoperative right ventricular outflow tract compression, the sternum was elevated by two 1-0 braided polyester horizontal mattress sutures on the posterior side of the third and fourth costal cartilages. Postoperative respiratory distress did not occur and her hemodynamics was stable. Four months later, she is alive and well without recurrence of the thoracic deformity.