OBJECTIVES: There is currently a lack of recommendations about @entity1 with @entity85 requiring cardiac surgery. This study reports the results of our surgical strategy on this issue. METHODS: Eleven @entity1 , from three centers treated over a 9-year period were included in this study. @entity85 were operated with a modified Ravitch procedure. In the case of @entity1408 repair and concomitant cardiac surgery, subperichondrial resection of abnormal rib cartilages was always performed before the sternotomy and an easily removable retrosternal metallic strut was inserted at the end of the procedure ensuring anterior chest wall stability. During follow-up @entity1 had to estimate their current appearance with a numeric scale ranging from 0 to 100. RESULTS: Mean age was 27    9.4 years. @entity1408 was present in 8 @entity1 and pectus arcuatum in 3. There were 6 @entity1614 @entity1 . Nine @entity1 had concomitant surgery and, 2 underwent pectus repair after a history of cardiac surgery. There was no operative mortality. In the case of concomitant surgery, heart exposure through median sternotomy was facilitated by abnormal rib cartilage resection. Median follow-up was 54 months (range 16.7-119.7). Mean cosmetic result evaluated by the @entity1 was 97.3 (  2.5). CONCLUSIONS: In adults, concomitant scheduled surgery is reliable and offers excellent long-term cosmetic results. Moreover, it allows a better thoracic exposition with no added perioperative risk. The modified Ravitch technique seems more adequate in these @entity1 as it can be used in all types of @entity85 .

Cardiac surgery and repair of XXXX : When and how?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity85 :: ('MESH:D009140', 'Disease') :: ['Pectus deformities', 'pectus deformities'] @entity1408 :: ('MESH:D005660', 'Disease') :: ['pectus excavatum', 'Pectus excavatum'] @entity1614 :: ('MESH:D008382', 'Disease') :: ['Marfan syndrome']
@entity85 :: (MESH:D009140,Disease) :: ['pectus deformities']
