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Eur J Cardiothorac Surg 2006;29:630-631
© 2006 Elsevier Science NL

Case report

Heart failure following left-sided pneumonectomy in a patient with known pectus excavatum — successful treatment using the Ravitch procedure

Ruhrlandklinik Essen, Department of Thoracic Surgery, Tüschener Weg 40, G-45239 Essen, Germany

Received 20 October 2005; accepted 25 November 2005.

^_* Corresponding author. Tel.: +49 201 433 01; fax: +49 201 433 1716. (Email: Stefan.We{at}t-online.de).

A rare case of a patient with progressive dyspnoea due to atrial compression between ascending and descending aorta is demonstrated. After neoadjuvant chemoradiation for a locally advanced nonsmall cell lung cancer stage IIIb, he had a left-sided pneumonectomy. The underlying problem for cardiac compression was the extreme mediastinal shift reinforced by a congenital pectus excavatum. Our treatment was a Ravitch procedure with fair result.

Key Words: Heart failure • Pneumonectomy • Pectus excavatum