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Pectus excavatum.
1Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, MO 63110, USA. huddlestonc@msnotes.wustl.edu <huddlestonc@msnotes.wustl.edu>
Seminars in Thoracic and Cardiovascular Surgery
|December 25, 2004
Summary
Pectus excavatum, a common chest wall anomaly, can cause symptoms like exercise intolerance. Surgical repair, particularly the modified Ravitch or Nuss procedures, often relieves these symptoms effectively in children.
Area of Science:
- Pediatric surgery
- Thoracic surgery
- Congenital anomalies
Background:
- Pectus excavatum is a frequent congenital chest wall anomaly in children.
- Its impact on cardiac function during exercise is debated.
- Symptoms include cosmetic concerns and reduced exercise tolerance.
Purpose of the Study:
- To review the surgical management of pectus excavatum.
- To compare the predominant surgical techniques.
Main Methods:
- Review of surgical repair methods for pectus excavatum.
- Focus on modified Ravitch and Nuss procedures.
Main Results:
- Surgical repair generally alleviates symptoms associated with pectus excavatum.
- Both modified Ravitch and Nuss procedures yield satisfactory outcomes.
Conclusions:
- Surgical intervention is effective for symptomatic pectus excavatum.
- The modified Ravitch and Nuss procedures are current standard surgical options.