Rastelli conduit change with the Nuss procedure for relieving compression of extracardiac conduit.

When Rastelli conduit stenosis occurs concurrently with pectus excavatum, redo Rastelli operation alone may not be sufficient to solve the situation. Therefore, we performed 2 procedures simultaneously: right ventricle to pulmonary artery extracardiac conduit change and the Nuss procedure. The Nuss bar was removed after 4 years.