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Pectus carinatum.

Francis Robicsek1, Larry T Watts

  • 1Department of Thoracic and Cardiovascular Surgery, Sanger Heart and Vascular Institute, Carolinas Medical Center, 1001 Blythe Boulevard, Suite 300, Charlotte, NC 28203, USA. francis.robicsek@carolinashealthcare.org

Thoracic Surgery Clinics
|October 27, 2010
PubMed
Summary
This summary is machine-generated.

Pectus carinatum, a chest wall anomaly, involves sternum protrusion. Surgical treatment is effective, while nonsurgical methods like exercise and casting have proven unsuccessful for this condition.

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Area of Science:

  • Thoracic surgery
  • Congenital anomalies
  • Pediatric surgery

Background:

  • Pectus carinatum, or keel chest, is a congenital chest wall anomaly characterized by sternum protrusion.
  • It is associated with several genetic syndromes, including Marfan disease and Noonan syndrome.
  • The condition presents a spectrum of severity and progressive nature.

Purpose of the Study:

  • To describe the nature of pectus carinatum.
  • To review associated conditions.
  • To evaluate treatment outcomes for pectus carinatum.

Main Methods:

  • Literature review of pectus carinatum.
  • Analysis of associated syndromes.
  • Evaluation of surgical and nonsurgical treatment efficacy.

Main Results:

  • Pectus carinatum is a progressive, inborn anomaly of the anterior chest wall.
  • Associated conditions include Marfan disease, homocystinuria, and Noonan syndrome.
  • Nonsurgical treatments like exercise and casting are not effective.

Conclusions:

  • Surgical management of pectus carinatum is simple and successful.
  • Nonsurgical interventions for pectus carinatum have yielded poor results.
  • Pectus carinatum requires effective treatment strategies, with surgery being the preferred option.