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Eur J Cardiothorac Surg 2003;23:109-111
© 2003 Elsevier Science NL

How-to-do-it

A repair of funnel chest without sternal dissection in aortic root replacement

Division of Cardiovascular Surgery, Jichi Medical School, Yakushiji 3311-1, Minami-kawachi, Tochigi 329-0498, Japan

Received 12 August 2002; received in revised form 9 September 2002; accepted 1 October 2002.

* Corresponding author. Tel.: +81-285-58-7368; fax: +81-285-44-6271
e-mail: tcvmisa{at}jichi.ac.jp

A 46-year-old man with Marfan syndrome was admitted for repair of annuloaortic etasia and funnel chest. Before median sternotomy, seven transverse skin incisions were made for resection of deformed ribs. The convex portions at the costochondral junctions of the right 47th and left 57th ribs were removed. Thereafter, the conventional median sternotomy was safely performed. Aortic root was replaced. After weaning from the cardiopulmonary bypass, the redundant distal end of the sternum was resected, fractured sites of the concave sternum were straightened and secured with wire fixation, and the split sternum was sutured with wires in an ordinary fashion.

Key Words: Annuloaortic ectasia • Funnel chest • Pectus excavatum • Aortic root replacement

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