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Modified Ravitch procedure: using a pectus bar for posttraumatic pectus excavatum.

Hyun Koo Kim¹, Young Ho Choi, Jae Hoon Shim

¹Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center, Seoul, Korea.

The Annals of Thoracic Surgery

|July 24, 2007

Summary

Surgical management for posttraumatic pectus excavatum is not standardized. A modified Ravitch procedure with a pectus bar offers a viable surgical alternative for this rare chest wall deformity.

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Area of Science:

Thoracic surgery
Trauma surgery
Surgical reconstruction

Background:

Posttraumatic pectus excavatum lacks established surgical guidelines due to infrequent cases and varied presentations.
Chest wall deformities can arise following significant trauma, impacting patient quality of life.

Observation:

A 34-year-old male presented with a depressed anterior chest wall deformity six months after a severe vehicle crash.
The patient exhibited symptoms consistent with pectus excavatum secondary to trauma.

Findings:

The patient underwent a modified Ravitch procedure involving subperichondral resection, sternal osteotomy, and pectus bar insertion.
Successful chest wall elevation was achieved through sternal elevation and bar rotation.

Implications:

This case suggests a modified Ravitch procedure with a pectus bar is a potential surgical option for posttraumatic pectus excavatum.
Further research and case studies are needed to establish definitive surgical protocols for traumatic chest wall deformities.