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Iatrogenic pectus carinatum. A case report
1Hospital Regional da Asa Norte, Fundação Hospitalar do Distrito Federal, Brasilia, Brazil.
International Orthopaedics
|January 1, 1995
Insights
A boy developed pectus carinatum after cardiac surgery. Surgeons must protect chest wall growth plates during pediatric thoracic procedures to prevent such deformities.
Area of Science:
- Pediatric Cardiac Surgery
- Thoracic Surgery
- Developmental Biology
Background:
- A child with a normal anterior chest wall underwent cardiac surgery at 27 months.
- Post-surgical monitoring is crucial for identifying potential developmental complications.
Observation:
- Progressive pectus carinatum deformity developed after the initial cardiac surgery.
- This suggests a potential link between surgical intervention and chest wall development.
Findings:
- Sternal and costal growth plates are vulnerable during intrathoracic surgical approaches.
- Surgical manipulation can impact normal bone and cartilage development in the chest wall.
Implications:
- Thoracic surgeons must exercise caution regarding growth plates in pediatric patients.
- Careful surgical technique is essential to prevent post-operative chest wall deformities like pectus carinatum in children and adolescents.
Abstract:
A boy underwent cardiac surgery when he was 27 months old; prior to that his anterior chest wall had been normal. He later developed a progressive pectus carinatum deformity. Thoracic surgeons are cautioned to be mindful of the sternal and costal growth plates in any surgical approach to intrathoracic structures. Special care is needed when such deformities are corrected in children and adolescents.