AI Article Synopsis
- A 23-year-old man with Marfan syndrome and severe respiratory dysfunction underwent surgery for annuloaortic ectasia after completing a 4-month respiratory physiotherapy regimen.
- His preoperative pulmonary function tests showed significant obstructive and restrictive issues, but these improved after therapy, allowing him to undergo the modified Bentall's procedure.
- Post-surgery, a tracheostomy was performed, which aided in his recovery, leading to eventual cessation of mechanical ventilation, highlighting the importance of respiratory therapy for patients with severe dysfunction before heart surgery.
Article Abstract
A 23-year-old man with Marfan syndrome, who had undergone surgery for pectus excavatum and scoliosis and who had severe respiratory dysfunction, was referred for surgical repair of annuloaortic ectasia. The preoperative pulmonary function test revealed severe obstructive and restrictive respiratory dysfunction, with forced expiratory volume in one second of 650 ml and vital capacity of 1,220 ml. These parameters improved after 4 months respiratory physiotherapy. A modified Bentall's procedure was performed after respiratory physiotherapy. A tracheostomy made on the 7th postoperative day (POD) appeared to improve respiratory condition and he was weaned off mechanical ventilation on the 14th POD. The lower limits of pulmonary function for open heart surgery have not been established clearly; however, our case will help elucidate these limits of respiratory function for open heart surgery. Preoperative respiratory physiotherapy improved parameters of pulmonary function test and may decrease the morbidity of postoperative pulmonary complications in a patient with severe respiratory dysfunction.
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