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| dc.creator | Grapow, Martin TR | |
| dc.creator | Campelos, Paula | |
| dc.creator | Barriuso, Clemente | |
| dc.creator | Mulet, Jaume | |
| dc.date | 2011-06-08T10:45:25Z | |
| dc.date | 2011-06-08T10:45:25Z | |
| dc.date | 2011-05-02 | |
| dc.date.accessioned | 2024-12-16T10:27:11Z | |
| dc.date.available | 2024-12-16T10:27:11Z | |
| dc.identifier | 1749-8090 | |
| dc.identifier | http://hdl.handle.net/2445/18330 | |
| dc.identifier | 21535880 | |
| dc.identifier.uri | http://fima-docencia.ub.edu:8080/xmlui/handle/123456789/22031 | |
| dc.description | 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. | |
| dc.format | 3 p. | |
| dc.format | application/pdf | |
| dc.language | eng | |
| dc.publisher | BioMed Central | |
| dc.relation | Reproducció del document publicat a: http://dx.doi.org/10.1186/1749-8090-6-64 | |
| dc.relation | Journal of Cardiothoracic Surgery, 2011, 6:64 | |
| dc.relation | http://dx.doi.org/10.1186/1749-8090-6-64 | |
| dc.rights | cc-by, (c) Grapow et al., 2011 | |
| dc.rights | http://creativecommons.org/licenses/by/2.0/ | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) | |
| dc.subject | Tòrax | |
| dc.subject | Malformacions | |
| dc.subject | Estudi de casos | |
| dc.subject | Chest Human abnormalities | |
| dc.subject | Case studies | |
| dc.title | Eyes wide shut - unusual two stage repair of pectus excavatum and annuloaortic ectasia in a 37 year old marfan patient: Case report | |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion |
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