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Concomitant Tirone David and Ravitch Procedure in Marfan Syndrome: A Case Report

DOI: 10.4236/oalib.1105283, PP. 1-4

Subject Areas: Surgery & Surgical Specialties

Keywords: Ravitch, Pectusexcavatum

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Abstract

Pectus excavatum is a known manifestation of Marfan disease and, when coexisting with aortic diseases imposing surgical intervention, its treatment is performed in simultaneous surgery. We describe a 29-year old man affected by Marfan syndrome, who underwent a Tirone David intervention for Valsalva sinuses dilatation and in concomitance a Ravitch procedure was needed. The patient had already undergone an esthetical intervention for the thoracic deformity, but the preoperatory CT found a severe form of pectus, which imposed the aortic and thoracic correction in one single time. Surgery and postoperative outcome were satisfactory.

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Brega, C. , Braham, W. , Pisani, A. , Kantor, E. , Mordant, P. and Raffoul, R. (2019). Concomitant Tirone David and Ravitch Procedure in Marfan Syndrome: A Case Report. Open Access Library Journal, 6, e5283. doi: http://dx.doi.org/10.4236/oalib.1105283.

References

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https://doi.org/10.2459/JCM.0000000000000394
[2]  Kansara, B., Singh, A., Girotra, S. and Iyer, K.S. (2013) Combined Bentall and Modified Ravitch Procedures in a Patient with Marfan Syndrome. Journal of Anaesthesiology Clinical Pharmacology, 29, 95-98.
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[4]  Stephens, E.H., Preventza, O., Sarateanu, C.S., LeMaire, S.A. and Coselli, J.S. (2012) Emergent Pectus Excavatum Repair after Aortic Root Replacement in Marfan Patient. Journal of Cardiac Surgery, 27, 220-227.
[5]  Schmidt, J., Redwan, B., Koesek, V., Aebert, H., Tjan, T.D.-T., Martens, S., et al. (2014) Pectus Excavatum and Cardiac Surgery: Simultaneous Correction Advocated. The Journal of Thoracic and Cardiovascular Surgery, 62, 238-244.

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