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Eyes wide shut - unusual two stage repair of pectus excavatum and annuloaortic ectasia in a 37 year old marfan patient: Case report

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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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