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Chest Wall Issues
Minimally Invasive Pectus Repair Appearance
Minimally Invasive Pectus Repair Appearance
Randy R. Richardson, MD; Mantosh S. Rattan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Minimally invasive surgical repair of pectus excavatum
              • Pectus excavatum: Anterior chest wall deformity with ↓ AP diameter of central thoracic cavity

          IMAGING

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  CLINICAL ISSUES

                  • Demographics

                    • Treatment

                      DIAGNOSTIC CHECKLIST

                      • Image Interpretation Pearls

                        • Reporting Tips

                          Selected References

                          1. Bond LM et al: Radiographic determination of skeletal maturity guides optimal timing of bar removal after minimally invasive repair of pectus excavatum. Am Surg. 86(12):1672-4, 2020
                          2. Moon DH et al: The effectiveness of double-bar correction for pectus excavatum: a comparison between the parallel bar and cross-bar techniques. PLoS One. 15(9):e0238539, 2020
                          3. Sola R et al: Repetitive imaging following minimally invasive repair of pectus excavatum is unnecessary. Eur J Pediatr Surg. 29(5):408-11, 2019
                          4. Poola AS et al: Routine use of chest radiographs in the post-operative management of pectus bar removal: necessity or futility. Pediatr Surg Int. 33(5):619-22, 2017
                          5. Farach SM et al: The role of chest radiography following pectus bar removal. Pediatr Surg Int. 32(7):705-8, 2016
                          6. Kabbaj R et al: Minimally invasive repair of pectus excavatum using the Nuss technique in children and adolescents: indications, outcomes, and limitations. Orthop Traumatol Surg Res. 100(6):625-30, 2014
                          7. Birkemeier KL et al: Limited, fast magnetic resonance imaging as an alternative for preoperative evaluation of pectus excavatum: a feasibility study. J Thorac Imaging. 27(6):393-7, 2012
                          8. Harrison MR et al: Magnetic mini-mover procedure for pectus excavatum III: safety and efficacy in a Food and Drug Administration-sponsored clinical trial. J Pediatr Surg. 47(1):154-9, 2012
                          9. Birkemeier KL et al: Breathe in... breathe out... stop breathing: does phase of respiration affect the Haller index in patients with pectus excavatum? AJR Am J Roentgenol. 197(5):W934-9, 2011
                          10. Haecker FM: The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr Surg Int. 27(6):623-7, 2011
                          11. Marcovici PA et al: MRI for the evaluation of pectus excavatum. Pediatr Radiol. 41(6):757-8, 2011
                          12. Rattan AS et al: Pectus excavatum imaging: enough but not too much. Pediatr Radiol. 40(2):168-72, 2010
                          13. Newman B et al: Chest wall. In Slovis et al. Caffey's Pediatric Diagnostic Imaging. Vol. 1. 11th ed. Mosby Elsevier. 1389-430, 2008
                          14. Nuss D: Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg. 17(3):209-17, 2008
                          15. Park HJ et al: Complications associated with the Nuss procedure: analysis of risk factors and suggested measures for prevention of complications. J Pediatr Surg. 39(3):391-5; discussion 391-5, 2004
                          16. Donnelly LF: Use of three-dimensional reconstructed helical CT images in recognition and communication of chest wall anomalies in children. AJR Am J Roentgenol. 177(2):441-5, 2001
                          17. Donnelly LF et al: Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 173(6):1595-601, 1999
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Clinical Issues

                                • Diagnostic Checklist

                                  TERMINOLOGY

                                  • Definitions

                                    • Minimally invasive surgical repair of pectus excavatum
                                      • Pectus excavatum: Anterior chest wall deformity with ↓ AP diameter of central thoracic cavity

                                  IMAGING

                                  • Radiographic Findings

                                    • CT Findings

                                      • MR Findings

                                        • Ultrasonographic Findings

                                          CLINICAL ISSUES

                                          • Demographics

                                            • Treatment

                                              DIAGNOSTIC CHECKLIST

                                              • Image Interpretation Pearls

                                                • Reporting Tips

                                                  Selected References

                                                  1. Bond LM et al: Radiographic determination of skeletal maturity guides optimal timing of bar removal after minimally invasive repair of pectus excavatum. Am Surg. 86(12):1672-4, 2020
                                                  2. Moon DH et al: The effectiveness of double-bar correction for pectus excavatum: a comparison between the parallel bar and cross-bar techniques. PLoS One. 15(9):e0238539, 2020
                                                  3. Sola R et al: Repetitive imaging following minimally invasive repair of pectus excavatum is unnecessary. Eur J Pediatr Surg. 29(5):408-11, 2019
                                                  4. Poola AS et al: Routine use of chest radiographs in the post-operative management of pectus bar removal: necessity or futility. Pediatr Surg Int. 33(5):619-22, 2017
                                                  5. Farach SM et al: The role of chest radiography following pectus bar removal. Pediatr Surg Int. 32(7):705-8, 2016
                                                  6. Kabbaj R et al: Minimally invasive repair of pectus excavatum using the Nuss technique in children and adolescents: indications, outcomes, and limitations. Orthop Traumatol Surg Res. 100(6):625-30, 2014
                                                  7. Birkemeier KL et al: Limited, fast magnetic resonance imaging as an alternative for preoperative evaluation of pectus excavatum: a feasibility study. J Thorac Imaging. 27(6):393-7, 2012
                                                  8. Harrison MR et al: Magnetic mini-mover procedure for pectus excavatum III: safety and efficacy in a Food and Drug Administration-sponsored clinical trial. J Pediatr Surg. 47(1):154-9, 2012
                                                  9. Birkemeier KL et al: Breathe in... breathe out... stop breathing: does phase of respiration affect the Haller index in patients with pectus excavatum? AJR Am J Roentgenol. 197(5):W934-9, 2011
                                                  10. Haecker FM: The vacuum bell for conservative treatment of pectus excavatum: the Basle experience. Pediatr Surg Int. 27(6):623-7, 2011
                                                  11. Marcovici PA et al: MRI for the evaluation of pectus excavatum. Pediatr Radiol. 41(6):757-8, 2011
                                                  12. Rattan AS et al: Pectus excavatum imaging: enough but not too much. Pediatr Radiol. 40(2):168-72, 2010
                                                  13. Newman B et al: Chest wall. In Slovis et al. Caffey's Pediatric Diagnostic Imaging. Vol. 1. 11th ed. Mosby Elsevier. 1389-430, 2008
                                                  14. Nuss D: Minimally invasive surgical repair of pectus excavatum. Semin Pediatr Surg. 17(3):209-17, 2008
                                                  15. Park HJ et al: Complications associated with the Nuss procedure: analysis of risk factors and suggested measures for prevention of complications. J Pediatr Surg. 39(3):391-5; discussion 391-5, 2004
                                                  16. Donnelly LF: Use of three-dimensional reconstructed helical CT images in recognition and communication of chest wall anomalies in children. AJR Am J Roentgenol. 177(2):441-5, 2001
                                                  17. Donnelly LF et al: Abnormalities of the chest wall in pediatric patients. AJR Am J Roentgenol. 173(6):1595-601, 1999