Cor Vasa 2010, 52(11-12):726-728 | DOI: 10.33678/cor.2010.179

Hybrid myocardial revascularization in a patient with pectus excavatum

Vilém Rohn^1,*, Jiří Humhal², Jan Rulíšek³

¹ II. chirurgická klinika - kardiovaskulární chirurgie

² II. interní klinika kardiologie a angiologie

³ Klinika anesteziologie, resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice a 1. lékařská fakulta Univerzity Karlovy, Praha, Česká republika

We report the case of a 78-year-old male patient with severe pectus excavatum and ischaemic heart disease. He had CCS Class III angina and a significant finding on coronary angiography. The patient was indicated for myocardial revascularization. Additionally, the patient suffered from rheumatoid arthritis treated by corticosteroids and methotrexate. Given the high risk of impaired healing of the sternotomy and subsequent infection, the patient was scheduled for so-called hybrid revascularization, involving coronary bypass using small anterior thoracotomy followed by percutaneous coronary intervention (PCI). This procedure is a valuable alternative to standard CABG in patients with multivessel disease who are at high risk for sternotomy-related complications.

Keywords: Pectus excavatum; Hybrid myocardial revascularization; Minithoracotomy

Published: November 1, 2010  Show citation