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Eur J Cardiothorac Surg 2000;17:495-497
© 2000 Elsevier Science NL

Case report

Combined repair of pectus excavatum and coronary artery bypass grafting

Department of Thoracic and Cardiovascular Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, Tel-Aviv 64239, Israel

Corresponding author. Tel.: +972-3-697-3322; fax: +972-3-697-4439

Coronary artery bypass grafting (CABG) in patients with severe pectus excavatum is a surgical challenge. A two-stage correction of sternal deformities and cardiac lesions has been described and myocardial revascularization through a left lateral thoracotomy is a valid alternative in urgent situations. We report a one-stage repair of severe pectus excavatum and CABG with the use of bilateral internal thoracic arteries in a young patient requiring urgent myocardial revascularization. The technical aspects and operative consideration are discussed.

Key Words: Skeletonized internal thoracic artery • Pectus excavatum • Coronary artery bypass grafting

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