Author/Authors :
kalogris, panagiotis onassis cardiac surgery center - second department of adult cardiac surgery, Athens, Greece , iliadis, kosmas hygeia hospital - thoracic surgery clinic, Athens, Greece , amanatidis, gregory onassis cardiac surgery center - second department of adult cardiac surgery, Athens, Greece , demis, alexandros onassis cardiac surgery center - second department of adult cardiac surgery, Athens, Greece , smyrli, anna onassis cardiac surgery center - second department of adult cardiac surgery, Athens, Greece , petsios, konstantinos onassis cardiac surgery center - nursing clinical research office, Athens, Greece
Abstract :
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.
Keywords :
Pectus Excavatum , Aortic Root , Valvuloplasty , Marfan’s Syndrome
