Tchantchaleishvili Vakhtang, Massey Howard Todd
Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY, USA
Interact Cardiovasc Thorac Surg. 2016 Jan;22(1):118-20. doi: 10.1093/icvts/ivv251. Epub 2015 Oct 13.
Pectus excavatum deformity often remains clinically asymptomatic even in cases of a severely diminished thoracic volume and frequently remains uncorrected. In the patient population that requires left ventricular assist device (LVAD) placement, a diminished thoracic volume can be problematic and lead to significant challenges in pump and outflow cannula positioning. Here we present a case of pectus excavatum correction during LVAD placement to show that this deformity can be successfully addressed with minimal, if any, additional operative risk at the time of LVAD implant.
漏斗胸畸形即使在胸廓容积严重减小的情况下临床上通常也无症状，而且常常未得到矫正。在需要植入左心室辅助装置（LVAD）的患者群体中，胸廓容积减小可能会带来问题，并导致在泵和流出道插管定位方面出现重大挑战。在此，我们介绍一例在植入LVAD期间进行漏斗胸矫正的病例，以表明这种畸形在LVAD植入时可通过最小化（如果有的话）额外手术风险而成功解决。
