Pediatr. praxi. 2020;21(4):296-299 | DOI: 10.36290/ped.2020.061

Surgical correction of pectus excavatum in an adolescent boy

prof. MUDr. Vladimír Mihál, CSc.1,2, MUDr. Tomáš Malý, Ph.D.3, MUDr. Eva Klásková, Ph.D.2, MUDr. Kamila Michálková4
1 Ústav molekulární a translační medicíny LF UP Olomouc
2 Dětská klinika LF UP FN v Olomouci
3 Chirurgická klinika LF UP a FN v Olomouci
5 Radiologická klinika LF UP a FN v Olomouci

Pectus excavatum (PEx) is a developmental deformity of the anterior chest wall that affects one in 400 live births. The depression of the sternum can displace the heart and reduce the lung volume, and may cause pulmonary and cardiovascular impairments. We present a case report of a severe form of PEx in an adolescent boy with a characteristic finding on imaging. According to Ravitch method, the open plastic surgery of the anterior chest wall led to aesthetic and symptomatic improvement.

Keywords: chest wall defect, pectus excavatum, Ravitch method, adolescent.

Published: September 3, 2020  Show citation

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Mihál V, Malý T, Klásková E, Michálková K. Surgical correction of pectus excavatum in an adolescent boy. Pediatr. praxi. 2020;21(4):296-299. doi: 10.36290/ped.2020.061.
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References

  1. de Oliveira Carvalho PE, da Silva MV, Rodrigues OR, Cataneo AJ. Surgical interventions for treating pectus excavatum. Cochrane Database Syst Rev 2014; 2014(10): CD008889. Published 2014 Oct 29. doi: 10.1002/14651858.CD008889.pub2. Go to original source... Go to PubMed...
  2. Chung CS, Myrianthopoulos NC. Factors affecting risks of congenital malformations. I. Analysis of epidemiologic factors in congenital malformations. Report from the Collaborative Perinatal Project. Birth Defects Orig Artic Ser 1975; 11: 1-22.
  3. Ochsner A, DeBakey M. Chonechondrosternon. J Thorax Surg 1939; 8: 469. Go to original source...
  4. Fokin AA, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 2009; 21(1): 44-57. Go to original source...
  5. Johnson WR, Fedor D, Singhal S. Systematic review of surgical treatment techniques for adult and pediatric patients with pectus excavatum. J Cardiothorac Surg 2014; 9: 25. Published 2014 Feb 7. doi: 10.1186/1749-8090-9-25. Go to original source... Go to PubMed...
  6. Hebra A, Kelly RE, Ferro MM, Yüksel M, Campos JRM, Nuss D. Life‑threatening complications and mortality of minimally invasive pectus surgery. J Pediatr Surg 2018; 53(4): 728-732. Go to original source... Go to PubMed...
  7. Abdullah F, Harris J. Pectus excavatum: more than a matter of aesthetics. Pediatr Ann 2016; 45(11): e403-e406. Go to original source... Go to PubMed...
  8. Silbiger JJ, Parikh A. Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights. Echocardiography 2016; 33(8): 1239-1244. Go to original source... Go to PubMed...
  9. Obermeyer RJ, Cohen NS, Jaroszewski DE. The physiologic impact of pectus excavatum repair. Semin Pediatr Surg 2018; 27(3): 127-132. Go to original source... Go to PubMed...
  10. Lawson ML, Mellins RB, Paulson JF, et al. Increasing severity of pectus excavatum is associated with reduced pulmonary function (published correction appears in J Pediatr. 2012 Jan; 160(1): 181). J Pediatr. 2011; 159(2): 256-261.e2. doi:10.1016/j.jpeds.2011. 01. 065. Go to original source... Go to PubMed...
  11. Dean C, Etienne D, Hindson D, Matusz P, Tubbs RS, Loukas M. Pectus excavatum (funnel chest): a historical and current prospective. Surg Radiol Anat 2012; 34(7): 573-579. Go to original source... Go to PubMed...
  12. Buziashvili D, Gopman JM, Weissler H, Bodenstein L, Kaufman AJ, Taub PJ. An Evidence‑Based Approach to Management of pectus excavatum and carinatum. Ann Plast Surg 2019; 82(3): 352-358. Go to original source... Go to PubMed...
  13. Abid I, Ewais MM, Marranca J, Jaroszewski DE. Pectus Excavatum: A Review of Diagnosis and Current Treatment Options. J Am Osteopath Assoc 2017; 117(2): 106-113. Go to original source... Go to PubMed...
  14. Mao YZ, Tang S, Li S. Comparison of the Nuss versus Ravitch procedure for pectus excavatum repair: an updated meta‑analysis. J Pediatr Surg 2017; 52(10): 1545-1552. Go to original source... Go to PubMed...
  15. Jaroszewski DE. Physiologic implications of pectus excavatum. J Thorac Cardiovasc Surg 2017; 153(1): 218-219. Go to original source...
  16. Pilegaard H, Licht PB. Minimal Invasive Repair of Pectus Excavatum and Carinatum. Thorac Surg Clin 2017; 27(2): 123-131. Go to original source... Go to PubMed...
  17. Robbins LP. Pectus excavatum. Radiol Case Rep 2011; 6(1): 1-3. Go to original source...




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