PMC6923716_01
Pre- and postoperative echocardiographic images demonstrating severe mitral regurgitation due to a large prolapsing P2 segment of the posterior leaflet (
A
,
B
) and the postoperative result with a competent valve and a significant amount of coaptation (
C
,
D
).
10-1055-s-0039-1700881-i190338crc-1.jpg
PMC6923716_02_10-1055-s-0039-1700881-i190338crc-1.jpg
FI190338crc-1
The patient left the operating room without residual mitral regurgitation ( Fig. 1C and D ) and was extubated 3 hours later.
Computed tomography imaging of the chest illustrating the severe form of pectus excavatum (
A
and
B
) with displacement of the heart to the left chest (
A
).
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PMC6923716_01_10-1055-s-0039-1700881-i190338crc-2.jpg
FI190338crc-2
The computed tomography images show a distance of only 10 cm between the sternum and the vertebral column ( Fig. 2 ).
PMC6923716_02
Pre- and postoperative echocardiographic images demonstrating severe mitral regurgitation due to a large prolapsing P2 segment of the posterior leaflet (
A
,
B
) and the postoperative result with a competent valve and a significant amount of coaptation (
C
,
D
).
10-1055-s-0039-1700881-i190338crc-1.jpg
PMC6923716_02_10-1055-s-0039-1700881-i190338crc-1.jpg
FI190338crc-1
The patient left the operating room without residual mitral regurgitation ( Fig. 1C and D ) and was extubated 3 hours later.
Intraoperative picture illustrating the lateral mini-thoracotomy in this patient with severe pectus excavatum.
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PMC6923716_02_10-1055-s-0039-1700881-i190338crc-3.jpg
FI190338crc-3
For the operation, we established cardiopulmonary bypass percutaneously in the right groin and used a right lateral mini-thoracotomy for access to the heart ( Fig. 3 ).  We clamped the aorta and applied Bretschneider cardioplegia antegrade in standard fashion.