{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T17:51:37Z","timestamp":1774029097954,"version":"3.50.1"},"reference-count":3,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The association of the diastasis of the rectus abdominis muscle and the medial pectus excavatum was reported. We have been using soft silicone block, sculpted intraoperatively, to correct pectus excavatum. The horizontal access used, 2\u2009cm at a subxiphoid position, allows us to expose the sternum and the rectus abdominis muscles (RAMs). We report a case, male, 31\u2009years presenting medial pectus excavatum and supraumbilical diastasis of the rectus abdominis muscle with a width of 35\u2009mm at the costal arches, and 27\u2009mm at 6\u2009cm from the xiphoid process edge. The muscle borders presented a curved lateral deviation up to the insertion in the costal arches. The necessary space for the implant was dissected and the block was sculpted. The medial and superior aponeurosis borders of the RAM were incised at 6\u2009cm from the xiphoid, and the posterior border of the RAM was released. The aponeurosis borders were brought together, promoting a medial and anterior positioning of the RAM. The inferior border of the implant was attached to the raw superior borders of the RAM. The result was considered satisfactory, and a magnetic resonance image 14 months after showed continuity of the implant and the muscles, promoting a uniform body contour.<\/jats:p>\n               <jats:p>Registry: CAAE63181616.7.0000.0071.<\/jats:p>","DOI":"10.1093\/icvts\/ivac147","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T22:16:54Z","timestamp":1654035414000},"source":"Crossref","is-referenced-by-count":1,"title":["The correction of the diastasis of the rectus abdominis muscle concomitant with a moulded silicone implant insertion in a patient with medial pectus excavatum"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3963-4054","authenticated-orcid":false,"given":"Jaime","family":"Anger","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein , Av. Albert Einstein, 627, Sao Paulo, SP 05652900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2385-7707","authenticated-orcid":false,"given":"Jose Ribas Milanez","family":"de Campos","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein , Av. Albert Einstein, 627, Sao Paulo, SP 05652900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"2022072011054968300_ivac147-B1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/978-3-211-99138-1_2","volume-title":"Congenital Thoracic Wall Deformities: Diagnosis, Therapy and Current Developments","author":"Morggl","year":"2011"},{"key":"2022072011054968300_ivac147-B2","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1590\/S1679-45082014AO2919","article-title":"The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair","volume":"12","author":"Anger","year":"2014","journal-title":"Einstein (Sao Paulo)"},{"key":"2022072011054968300_ivac147-B3","doi-asserted-by":"crossref","first-page":"e4028","DOI":"10.1097\/GOX.0000000000004028","article-title":"Occurrence of diastasis of the rectus abdominis muscles in patients with medial pectus excavatum","volume":"10","author":"Anger","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivac147\/43947802\/ivac147.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/2\/ivac147\/45029581\/ivac147.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/2\/ivac147\/45029581\/ivac147.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T11:06:00Z","timestamp":1658315160000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivac147\/6595027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,30]]},"references-count":3,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,7,9]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivac147","relation":{},"ISSN":["1569-9293","1569-9285"],"issn-type":[{"value":"1569-9293","type":"print"},{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,1]]},"published":{"date-parts":[[2022,5,30]]},"article-number":"ivac147"}}