{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:14Z","timestamp":1782956654745,"version":"3.54.5"},"reference-count":10,"publisher":null,"issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Coexisting congenital cystic adenomatous malformation of the lungs and severe pectus excavatum (PE) is an uncommon presentation that poses significant management challenges. Conventionally managed in a staged manner, there are increasing reports of superior outcomes with single-staged concurrent repair with minimally invasive techniques (video-assisted thoracoscopic surgery [VATS] and minimally invasive repair of PE [MIRPE]). The outcome of a single-stage open repair for both anomalies has not been previously reported to the best of our search. We report the successful single-stage management of a 9-month-old infant with both anomalies who had an open lobectomy and modified Ravitch procedure. We aim to report the feasibility and safety of a single-stage concurrent repair of both conditions using open techniques, as VATS and MIRPE are not readily available in our environment.<\/jats:p>","DOI":"10.4103\/ajps.ajps_122_22","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T09:00:26Z","timestamp":1723539626000},"page":"198-200","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Single-stage Open Lobectomy and Modified Ravitch Procedure in an Infant with Coexisting Severe Pectus Excavatum and Congenital Cystic Adenomatous Malformation"],"prefix":"10.67481","volume":"21","author":[{"given":"Solomon Ifeanyi","family":"Ukwuani","sequence":"first","affiliation":[{"name":"Department of Surgery, Cardiothoracic Surgery Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isah","family":"Abdullahi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cardiothoracic Surgery Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muideen Adegbola","family":"Ajadi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cardiothoracic Surgery Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abubakar","family":"Umar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cardiothoracic Surgery Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria"},{"name":"Department of Surgery, Usmanu Danfodiyo University, Sokoto, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2023,4,10]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1016\/j.ejcts.2005.01.028","article-title":"Treatment of congenital cystic adenomatoid malformation-does resection in the early postnatal period increase surgical risk?","volume":"27","author":"Kim","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"R2-20240829","doi-asserted-by":"crossref","first-page":"6230","DOI":"10.21037\/jtd.2018.10.85","article-title":"Pectus excavatum and congenital cystic lung lesion: Simultaneous surgery advocated","volume":"10","author":"Wang","year":"2018","journal-title":"J Thorac Dis"},{"key":"R3-20240829","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0022-5223(19)35240-7","article-title":"Anterior chest wall deformities and congenital heart disease","volume":"96","author":"Shamberger","year":"1988","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1016\/S0022-5223(19)42428-8","article-title":"Repair of ascending aortic aneurysm and aortic regurgitation complicated by acute cardiac compression by pectus excavatum in Marfan's syndrome","volume":"59","author":"Miller","year":"1970","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.1016\/j.jpedsurg.2007.07.011","article-title":"Impact of concomitant thoracic interventions on feasibility of Nuss procedure","volume":"42","author":"Metzelder","year":"2007","journal-title":"J Pediatr Surg"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.athoracsur.2014.09.084","article-title":"Feasibility and complications in concomitant lung resection with minimally invasive repair of pectus excavatum","volume":"100","author":"Bilgi","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"R7-20240829","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1053\/j.semtcvs.2021.02.028","article-title":"Modified ravitch procedure for pectus excavatum combined with complex cardiac surgery","volume":"33","author":"Zaki","year":"2021","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/S0003-4975(10)63636-3","article-title":"Marlex mesh support for the correction of very severe and recurrent pectus excavatum","volume":"26","author":"Robicsek","year":"1978","journal-title":"Ann Thorac Surg"},{"key":"R9-20240829","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1016\/j.athoracsur.2004.02.044","article-title":"An innovative single-stage repair of severe asymmetric pectus excavatum defects using substernal mesh bands","volume":"78","author":"Karagounis","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"R10-20240829","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1016\/j.surg.2020.12.023","article-title":"Complications after ravitch versus nuss repair of pectus excavatum: A Society of Thoracic Surgeons (STS) general thoracic surgery database analysis","volume":"169","author":"Jawitz","year":"2021","journal-title":"Surgery"}],"container-title":["African Journal of Paediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_122_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:49:39Z","timestamp":1782953379000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.4103\/ajps.ajps_122_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,10]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ajps.ajps_122_22","relation":{},"ISSN":["0189-6725","0974-5998"],"issn-type":[{"value":"0189-6725","type":"print"},{"value":"0974-5998","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,10]]},"assertion":[{"value":"2022-08-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}