Pediatric Cardiology

, Volume 32, Issue 2, pp 232–233 | Cite as

Reoperation for a Congenital Heart Defect and Simultaneous Repair for a Severe Form of Pectus Excavatum

  • Christian SchreiberEmail author
  • Jürgen Hörer
  • Sohrab Fratz
  • Alfred Hager
  • Stephan Kellnar
Case Report


A 12-year-old boy was referred for treatment of severe mitral regurge. The boy had already undergone two previous operations. A reduced exercise capacity was measured. Lung function was severely affected and exhibited a reduced forced vital capacity. Because access to the heart after previous surgery together with the severe chest malformation required a sternotomy, the authors opted for a simultaneous chest wall reconstruction as in a Ravitch repair.


Chest malformationm Congenital heart disease Congenital heart surgery Pectus excavatum Ravitch repair 

Supplementary material

Movie Clip 1 Intraoperative footage showing the severe chest malformation and a transverse skin incision just below the nipples (WMV 3218 kb)

Movie Clip 2 Intraoperative footage showing mobilization of the muscle layers to expose the deformed lower costal cartilages before sternotomy (WMV 4687 kb)


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Christian Schreiber
    • 1
    Email author
  • Jürgen Hörer
    • 1
  • Sohrab Fratz
    • 3
  • Alfred Hager
    • 3
  • Stephan Kellnar
    • 2
  1. 1.Department of Cardiovascular SurgeryDeutsches Herzzentrum München, Technische Universität MünchenMunichGermany
  2. 2.Department of Pediatric SurgeryKrankenhaus Dritter OrdenMunichGermany
  3. 3.Department of Pediatric Cardiology and Congenital Heart DiseaseDeutsches Herzzentrum München, Technische Universität MünchenMunichGermany

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