Simultaneous repair of congenital heart defects and pectus excavatum in young children

Simultaneous repair of congenital heart defects and pectus excavatum in young children Purpose The present study was undertaken to summarize our experience with the concurrent repair of pectus excavatum (PE) and congenital heart defects in young children over the past 15 years. Methods A retrospective study was conducted that included patients who underwent combined repair of PE and a congeni- tal heart defect in a large clinical center between 2002 and 2017. Intraoperative and postoperative patient characteristics, postoperative complications and surgical outcomes were recorded. Results Twenty-one patients met the inclusion criteria. An open heart surgery and a modified sternal elevation with anterior sternal suspension were performed. No intraoperative complications occurred. Postoperatively, three patients developed pneumonia, two patients developed subcutaneous effusions, one patient sustained an asymptomatic pneumothorax, and one other patient had a transitory fever. In all cases, postoperative recovery was uneventful, and no perioperative mortality occurred. Bar removal was performed in 19 patients at an average of 2.55 years postoperatively: 18 of them achieved an excellent outcome, and 1 patient had a good final result. Conclusion A combined procedure of modified sternal elevation and cardiac repair may be performed safely in young chil- dren. Early repair of PE is feasible and effective in these patients. Keywords Pectus excavatum · Congenital heart defect · Children · Simultaneous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Pediatric Surgery International Springer Journals

Simultaneous repair of congenital heart defects and pectus excavatum in young children

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Pediatrics; Surgery; Pediatric Surgery
ISSN
0179-0358
eISSN
1437-9813
D.O.I.
10.1007/s00383-017-4223-z
Publisher site
See Article on Publisher Site

Abstract

Purpose The present study was undertaken to summarize our experience with the concurrent repair of pectus excavatum (PE) and congenital heart defects in young children over the past 15 years. Methods A retrospective study was conducted that included patients who underwent combined repair of PE and a congeni- tal heart defect in a large clinical center between 2002 and 2017. Intraoperative and postoperative patient characteristics, postoperative complications and surgical outcomes were recorded. Results Twenty-one patients met the inclusion criteria. An open heart surgery and a modified sternal elevation with anterior sternal suspension were performed. No intraoperative complications occurred. Postoperatively, three patients developed pneumonia, two patients developed subcutaneous effusions, one patient sustained an asymptomatic pneumothorax, and one other patient had a transitory fever. In all cases, postoperative recovery was uneventful, and no perioperative mortality occurred. Bar removal was performed in 19 patients at an average of 2.55 years postoperatively: 18 of them achieved an excellent outcome, and 1 patient had a good final result. Conclusion A combined procedure of modified sternal elevation and cardiac repair may be performed safely in young chil- dren. Early repair of PE is feasible and effective in these patients. Keywords Pectus excavatum · Congenital heart defect · Children · Simultaneous

Journal

Pediatric Surgery InternationalSpringer Journals

Published: Jan 5, 2018

References

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