Simultaneous repair of pectus excavatum with congenital heart surgery for a 72-year-old patient: Case report

Over the last decade, pectus excavatum deformities have been advocated for correction in cardiac surgery procedures due to their effectiveness and reliability. However, it is uncertain for adult congenital cardiac disease. This is the first article to describe a simultaneous repair for a 72-year-old female who had adult congenital heart disease and pectus excavatum. Preoperative cardiac catheterization found her systolic peak-to-peak gradient at the right ventricular outflow tract stenosis was 69 mmHg, caused by a severely hypertrophied muscle bundle in the right ventricle. She also had a severe pectus excavatum with a Haller Index of 5.09. We performed resection of hypertrophied right muscle bundle at the ostium infundibulum with patch augmentation of the right ventriculotomy and Nuss procedure with bilateral cryoablation. She achieved excellent outcomes in both cardiac repair and chest wall repair in the year after this simultaneous surgery.