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Pectus Excavatum
Mantosh S. Rattan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Funnel chest
          • Definitions

            • Deformity of chest wall characterized by sternal depression

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Treatment

                            Selected References

                            1. Fagelman KM et al: The Depression index: an objective measure of the severity of pectus excavatum based on vertebral diameter, a morphometric correlate to patient size. J Pediatr Surg. 50(7):1130-3, 2015
                            2. 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
                            3. Oezcan S et al: Pectus excavatum: echocardiography and cardiac MRI reveal frequent pericardial effusion and right-sided heart anomalies. Eur Heart J Cardiovasc Imaging. 13(8):673-9, 2012
                            4. 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
                            5. St Peter SD et al: A novel measure for pectus excavatum: the correction index. J Pediatr Surg. 46(12):2270-3, 2011
                            6. Saleh RS et al: Cardiovascular magnetic resonance in patients with pectus excavatum compared with normal controls. J Cardiovasc Magn Reson. 12:73, 2010
                            7. Fokin AA et al: Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg. 21(1):44-57, 2009
                            8. Fonkalsrud EW: 912 open pectus excavatum repairs: changing trends, lessons learned: one surgeon's experience. World J Surg. 33(2):180-90, 2009
                            9. Restrepo CS et al: Imaging appearances of the sternum and sternoclavicular joints. Radiographics. 29(3):839-59, 2009
                            10. Castellani C et al: Early complications of the Nuss procedure for pectus excavatum: a prospective study. Pediatr Surg Int. 24(6):659-66, 2008
                            11. Kelly RE Jr: Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Semin Pediatr Surg. 17(3):181-93, 2008
                            12. Nuss D et al: Minimally invasive surgical correction of chest wall deformities in children (Nuss procedure). Adv Pediatr. 55:395-410, 2008
                            13. Williams AM et al: Pectus deformities of the anterior chest wall. Paediatr Respir Rev. 4(3):237-42, 2003
                            14. Sidden CR et al: Radiologic considerations in patients undergoing the Nuss procedure for correction of pectus excavatum. Pediatr Radiol. 31(6):429-34, 2001
                            15. Nuss D et al: A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 33(4):545-52, 1998
                            16. Takahashi K et al: Obliteration of the descending aortic interface in pectus excavatum: correlation with clockwise rotation of the heart. Radiology. 182(3):825-8, 1992
                            17. The effect of right ventricular compression on cardiac function in pediatric pectus excavatum
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Imaging

                                • Top Differential Diagnoses

                                  • Clinical Issues

                                    TERMINOLOGY

                                    • Synonyms

                                      • Funnel chest
                                    • Definitions

                                      • Deformity of chest wall characterized by sternal depression

                                    IMAGING

                                    • General Features

                                      • Radiographic Findings

                                        • CT Findings

                                          • MR Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Demographics

                                                    • Treatment

                                                      Selected References

                                                      1. Fagelman KM et al: The Depression index: an objective measure of the severity of pectus excavatum based on vertebral diameter, a morphometric correlate to patient size. J Pediatr Surg. 50(7):1130-3, 2015
                                                      2. 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
                                                      3. Oezcan S et al: Pectus excavatum: echocardiography and cardiac MRI reveal frequent pericardial effusion and right-sided heart anomalies. Eur Heart J Cardiovasc Imaging. 13(8):673-9, 2012
                                                      4. 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
                                                      5. St Peter SD et al: A novel measure for pectus excavatum: the correction index. J Pediatr Surg. 46(12):2270-3, 2011
                                                      6. Saleh RS et al: Cardiovascular magnetic resonance in patients with pectus excavatum compared with normal controls. J Cardiovasc Magn Reson. 12:73, 2010
                                                      7. Fokin AA et al: Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg. 21(1):44-57, 2009
                                                      8. Fonkalsrud EW: 912 open pectus excavatum repairs: changing trends, lessons learned: one surgeon's experience. World J Surg. 33(2):180-90, 2009
                                                      9. Restrepo CS et al: Imaging appearances of the sternum and sternoclavicular joints. Radiographics. 29(3):839-59, 2009
                                                      10. Castellani C et al: Early complications of the Nuss procedure for pectus excavatum: a prospective study. Pediatr Surg Int. 24(6):659-66, 2008
                                                      11. Kelly RE Jr: Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation. Semin Pediatr Surg. 17(3):181-93, 2008
                                                      12. Nuss D et al: Minimally invasive surgical correction of chest wall deformities in children (Nuss procedure). Adv Pediatr. 55:395-410, 2008
                                                      13. Williams AM et al: Pectus deformities of the anterior chest wall. Paediatr Respir Rev. 4(3):237-42, 2003
                                                      14. Sidden CR et al: Radiologic considerations in patients undergoing the Nuss procedure for correction of pectus excavatum. Pediatr Radiol. 31(6):429-34, 2001
                                                      15. Nuss D et al: A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 33(4):545-52, 1998
                                                      16. Takahashi K et al: Obliteration of the descending aortic interface in pectus excavatum: correlation with clockwise rotation of the heart. Radiology. 182(3):825-8, 1992
                                                      17. The effect of right ventricular compression on cardiac function in pediatric pectus excavatum