{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:32Z","timestamp":1753877012249,"version":"3.41.2"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Joint Program of Chongqing Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>To develop a decision-making framework for the surgical management of coexisting mitral valve (MV) prolapse and pectus excavatum, addressing the challenges posed by anatomical complexity and functional compromise.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>A narrative review of reported cases involving coexisting MV prolapse and pectus excavatum was conducted. Each case was analysed to evaluate the characteristics, personalized surgical strategies and operational details, with a focus on the associated benefits and risks. Additionally, surgical strategies were classified, and process management approaches were explored to guide treatment planning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The management of coexisting MV prolapse and pectus excavatum was categorized into three tailored approaches: (i) isolated chest wall reconstruction for cardiac decompression in patients with preserved valvular function; (ii) standalone MV repair or replacement for severe regurgitation with mild-to-moderate skeletal deformity (Haller index &amp;lt;3.5) and (iii) single-stage combined procedures for complex presentations (Haller index \u22653.5). A framework for personalized treatment pathways was proposed, incorporating factors such as deformity severity, surgical history and haemodynamic status to optimize approach selection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The integration of innovative surgical techniques and minimally invasive approaches offers the potential for safe and effective outcomes. A personalized, anatomically stratified approach is essential for optimizing treatment strategies in patients with this complex comorbidity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaf094","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T16:58:51Z","timestamp":1744390731000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical strategies for mitral valve diseases associated with pectus excavatum: a narrative review of approaches and outcomes"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6479-1839","authenticated-orcid":false,"given":"Chang","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Daping Hospital, Army Medical University , Chongqing,","place":["China"]},{"name":"Chongqing Key Laboratory for Hypertension Research, Chongqing Cardiovascular Clinical Research Center, Chongqing Institute of Cardiology , Chongqing,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peiling","family":"He","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Daping Hospital, Army Medical University , Chongqing,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Daping Hospital, Army Medical University , Chongqing,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjun","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Daping Hospital, Army Medical University , Chongqing,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9006-2608","authenticated-orcid":false,"given":"Yijie","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Daping Hospital, Army Medical University , Chongqing,","place":["China"]},{"name":"Chongqing Key Laboratory for Hypertension Research, Chongqing Cardiovascular Clinical Research Center, Chongqing Institute of Cardiology , Chongqing,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"2025042501563052600_ivaf094-B1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/BF02722092","article-title":"Pectus excavatum in children: diagnostic significance for mitral valve prolapse","volume":"57","author":"Park","year":"1990","journal-title":"Indian J Pediatr"},{"key":"2025042501563052600_ivaf094-B2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/BF00788224","article-title":"Echocardiographic evaluation of the aortic root and mitral valve in children and adolescents with isolated pectus excavatum: comparison with Marfan 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