Aortic root replacement and valvuloplasty in a woman with severe pectus excavatum

We describe a case of a 43-year old woman with Marfan's syndrome, tricuspid valve regurgitation and severe pectus excavatum who required an aortic root replacement and valvuloplasty for an ascending aortic aneurism with aortic valve regurgitation and tricuspid valve regurgitation. There was a s...

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Bibliographic Details
Published in:Journal of cardiovascular and thoracic research 2018-01, Vol.10 (2), p.115-117
Main Authors: Kalogris, Panagiotis, Iliadis, Kosmas, Amanatidis, Gregory, Demis, Alexandros, Smyrli, Anna, Petsios, Konstantinos
Format: Article
Language:English
Subjects:
Aneurysms
aortic root
Case Report
Coronary vessels
Electrocardiography
Heart surgery
marfan
Medical imaging
pectus excavatum
valvuloplasty
Vertebrae
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Summary:We describe a case of a 43-year old woman with Marfan's syndrome, tricuspid valve regurgitation and severe pectus excavatum who required an aortic root replacement and valvuloplasty for an ascending aortic aneurism with aortic valve regurgitation and tricuspid valve regurgitation. There was a severe angulation of the sternum which was close to 1.5 cm to the column vertebrae. Such cases are quite rare and always a challenge for surgeons to achieve adequate exposure of the heart and prevent excessive cardiac compression. We present our access, a safe and efficient exposure of the heart in order to achieve the best outcome.
ISSN:2008-5117
2008-6830
DOI:10.15171/jcvtr.2018.19