Javangula Kalyana C, Batchelor Timothy J P, Jaber Osama, Watterson Kevin G, Papagiannopoulos Kostas
Department of Cardiothoracic Surgery, Leeds General Infirmary, Leeds, United Kingdom.
Ann Thorac Surg. 2006 May;81(5):1913-5. doi: 10.1016/j.athoracsur.2005.03.045.
A 23-year-old man with Marfan's syndrome was admitted for repair of annulo-aortic ectasia and severe pectus excavatum. A submammary skin incision approach followed by bilateral subperichondrial resection of abnormal costal cartilages was performed. The left intercostal muscles and perichondrial sheaths were divided 2 inches lateral to the sternum in a parasternal fashion to place the retractor. The aortic root was replaced with a 23-mm St. Jude's composite graft (St. Jude Medical, Inc, St. Paul, MN). Chest wall reconstruction was completed with a high sternal osteotomy and support of the sternum was made with Gortex strips (W.L. Gore & Associates, Inc, Flagstaff, AZ). The patient made an uneventful recovery.
一名患有马凡氏综合征的23岁男性因主动脉瓣环扩张和严重漏斗胸修复入院。采用乳房下皮肤切口入路，随后对异常肋软骨进行双侧软骨膜下切除。以胸骨旁方式在胸骨外侧2英寸处切开左肋间肌和软骨膜鞘，以便放置牵开器。用23毫米的圣犹达复合移植物（圣犹达医疗公司，明尼苏达州圣保罗）替换主动脉根部。通过高位胸骨截骨术完成胸壁重建，并用戈尔特斯条带（W.L.戈尔联合公司，亚利桑那州弗拉格斯塔夫）支撑胸骨。患者恢复顺利。
