Kawamura Tomonori, Fukuda Ikuo, Minakawa Masahito, Fukui Kozo
Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.
Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):645-7. doi: 10.1510/icvts.2010.258368. Epub 2011 Jan 25.
A 32-year-old female patient with Marfan syndrome was admitted for repair of annuloaortic ectasia and severe pectus excavatum. Because the chest cage deformity was severe, concomitant reparative surgery of the chest wall was performed. Partial median sternotomy and left second-fifth rib division was made to obtain good surgical field. The patient underwent valve-sparing aortic root remodeling successfully. After complete neutralization of heparin, additional division of the right ribs was performed and each rib and the sternum was reshaped. Pectus excavatum was completely repaired by this method. We believe this approach is efficacious for intracardiac repair with severe pectus excavatum.
一名32岁患有马凡综合征的女性患者因主动脉环扩张和严重漏斗胸修复入院。由于胸廓畸形严重，同时进行了胸壁修复手术。采用部分正中胸骨切开术和左第二至五肋分开术以获得良好的手术视野。患者成功接受了保留瓣膜的主动脉根部重塑手术。在肝素完全中和后，进行了右肋额外分开术，并对每根肋骨和胸骨进行了重塑。漏斗胸通过这种方法得到了完全修复。我们认为这种方法对于伴有严重漏斗胸的心脏内修复是有效的。
