The Japanese Journal of Thoracic Surgery Volume 71, Issue 13 (December 2018)

One-stage Surgery for a Non-Marfan Elderly Patient with Aortic Regurgitation and Pectus Excavatum Kazuhiro Suzuki 1 , Osamu Yamashita 1 , Hidetoshi Tsuboi 1 1Department of Cardiovascular Surgery, Yamaguchi Prefectural Grand Medical Center Keyword: pectus excavatum , aortic regurgitation , the elderly , one-stage surgery pp.1073-1076
Published Date 2018/12/1
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We describe a case of 1-stage surgery comprising aortic valve replacement and thoracoplasty that was performed on an elderly patient with a good result. An 85-year-old man visited our hospital with the chief complaint of chest discomfort. Examination revealed aortic regurgitation and pectus excavatum. Respiratory dysfunction, pulmonary hypertension, and cardiac failure were observed. We considered that pectus excavatum could affect breathing and circulation after surgery;therefore, we decided to perform a 1-stage surgery comprising aortic valve replacement and thoracoplasty. The costal cartilage and xiphoid process were resected, and median sternotomy was performed. The internal thoracic artery and vein were preserved. Aortic valve replacement was performed per the usual method. The resected costal cartilage was placed back at its site and the periosteum was sutured. The medially resected sternum was fixed and lifted with Kirschner wire. The patient recovered without any complication.

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71巻13号 (2018年12月)
電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂