Iatrogenic pectus carinatum. A case report

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S A Haje1

  • 1Hospital Regional da Asa Norte, Fundação Hospitalar do Distrito Federal, Brasilia, Brazil.

International Orthopaedics
|January 1, 1995
PubMed

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.

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