Abstract
The author describes the simultaneous treatment of pectus excavatum and congenital intracardiac defect (atrial septal defect) represented by the interatrial foramen secundum. An 8-year-old boy, with clinical and echocardiography diagnosis of atrial septal defect associated with pectus excavatum was referred to a simultaneous surgical treatment of both abnormalities. The simultaneous surgical treatment of both pectus excavatum and congenital intracardiac defects make it difficult to access the heart. In this case, the simultaneous surgical treatment of atrial septal defect and pectus excavatum was a valuable alternative to surgical repair of both abnormalities, mainly due to its cosmetic outcome.
Highlights
Pectus excavatum is a relatively common chest wall deformity in children
The ideal age for correction of this defect is under considerable debate regarding the use of vertical or horizontal incision, and whether in the presence of a congenital heart defect the operation should be performed simultaneously or isolated [5,6,7]
The present study is to report a simultaneous operation to correct interatrial communication through atrioseptoplasty and repair of pectus excavatum through a longitudinal incision
Summary
Pectus excavatum is a relatively common chest wall deformity in children. Numerous manuscripts in the literature does exist that document a variety of techniques available to repair pectus excavatum deformity with excellent cosmetic results [1,2,3,4].the ideal age for correction of this defect is under considerable debate regarding the use of vertical or horizontal incision, and whether in the presence of a congenital heart defect the operation should be performed simultaneously or isolated [5,6,7].The present study is to report a simultaneous operation to correct interatrial communication through atrioseptoplasty (with extracorporeal circulation) and repair of pectus excavatum through a longitudinal incision.An 8-year-old male patient was referred to with clinical and echocardiographic diagnosis of ostium secundum-type interatrial communication, with moderate hemodynamic repercussion. Resumo Relatamos tratamento simultâneo de pectus excavatum e defeito congênito intracardíaco representado por comunicação interatrial ostium secundum. Work performed in the Cardiovascular Surgery Program - Faculdade de Medicina do ABC, at the Hospital Estadual Mário Covas.
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