A 17 year old boy with Marfan syndrome and a pectus excavatum desires repair. He undergoes a CT of the chest for preop planning with the following findings: his calculated Haller Index is 4 and his aortic root is 5.0 cm. He is without symptoms. The next step in management should be:
A Immediate cardiac surgery for aortic root replacement alone
B Immediate cardiac surgery evaluation for combined procedure
C Elective Nuss bar repair
D Elective Ravitch Repair
E Observation
A Immediate cardiac surgery for aortic root replacement alone
B Immediate cardiac surgery evaluation for combined procedure
C Elective Nuss bar repair
D Elective Ravitch Repair
E Observation
Comment