Surgical Approach of Bentall Procedure in a Patient of Pectus Excavatum: A Clinical Findings

Abstract

The present study reporting a case of different surgical approach of Bentall procedure in pectus excavatum deformity patient. A middle-aged old man is a diagnosed case of Marfan syndrome associated with pectus excavatum presented with chest pain and dyspnoea. Diagnostic investigations like Chest X-ray, transthoracic echocardiography and Computed tomography (CT) of heart and aorta revealed severe Aortic regurgitation with dilated aortic root, sinotubular junction and ascending aorta with normal size arch of aorta and descending thoracic aorta. Surgery was planned. Heart exposure and cannulation for cardiopulmonary bypass were difficult due to Pectus excavatum. We carried out femoro-femoral bypass for ahesiolysis and Bentall procedure without much difficulties. Postoperative stay of the patient was uneventful and followed up in regular interval. Marfan syndrome is associated with many disorders that affect different systems of the body, these patients always require an individual approach.