PMC3590552_01
Chest wall deformity (pectus excavatum)
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F1
Patient had a typical Marfan habitus with arm span > height (194 > 179 cm), chest deformity (pectus excavatum; Figure 1), and kyphoscoliosis.
Computed tomography of chest revealing dilated aortic root and aneurysmal ascending aorta
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F2
Computed Tomography of chest revealed a dilated aortic root, a fusiform aneurysmal proximal ascending aorta, severe pectus excavatum (5.2 cm central depression of the sternum), displacement of the heart into left side of chest with compression of left lung and kyphoscoliosis [Figure 2].
Chest X-ray with dynamic compression plate supporting lower xiphisternum
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F3
The deformed portion of the sternum was transacted in two points, and the divided sternum was fixed and corrected in elevated position by using a dynamic compression plate (3.5 mm/15 holes, Synthes Holding AG, Solothurn, Switzerland) passed horizontally posterior to the ribs to support the lower xiphisternum [Figure 3].
Postsurgical good cosmetic repair
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F4
Patient had a good cosmetic repair [Figure 4] and was discharged from the hospital on tenth day.