Combined minimally invasive resection of sub aortic membrane and modified ravitch procedure

Pectus carinatum is characterized by anterior protrusion of chest wall with0.2% incidence.
Subvalvular aortic stenosis causes clinically significant left ventricle outflow obstruction resulting in the development of concentric left ventricular hypertrophy, frequently with a septal bulge. This, in turn, results in the further obstruction and hyperdynamic function.
We report a very rare case where an adolescent admitted for surgery for symmetrical marked, symptomatic pectus carinatum and incidentally found to have severe sub aortic stenosis giving significant left ventricle outflow gradients in pre-operative evaluation.
A successful Minimally invasive resection of Subaortic membrane with concomitant chest wall reconstruction was performed.