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Aortic root replacement and valvuloplasty in a woman with severe pectus excavatum. | LitMetric

AI Article Synopsis

  • A 43-year-old woman with Marfan's syndrome presented with several heart issues, including tricuspid valve regurgitation and severe pectus excavatum, requiring complex surgery for an ascending aortic aneurysm.
  • The surgery involved aortic root replacement and valvuloplasty to address both aortic valve and tricuspid valve regurgitation.
  • Surgeons faced challenges due to the patient's severe sternum angulation, needing a careful approach to ensure safe access to the heart and optimal patient outcomes.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088758PMC
http://dx.doi.org/10.15171/jcvtr.2018.19DOI Listing

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