This article reviews pectus excavatum, carinatum, and arcuatum. Topics covered include etiology, epidemiology, associated syndromes, physiologic impact, workup, indications for treatment, surgical and nonsurgical therapy, results, complications, and emerging therapies. Pectus excavatum is an inward deformation of the sternum and/or anterior chest wall. Pectus carinatum is ether an outward protrusion or tilt of the sternum with potential psychological impact, but no demonstrated physiologic impact. Nonoperative compression bracing is successful in carinatum patients with chest wall flexibility who are compliant with a bracing program. Pectus arcuatum is an abnormally short, fully fused sternum with a high anterior protrusion.
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http://dx.doi.org/10.1016/j.yapd.2024.05.001 | DOI Listing |
JTCVS Tech
December 2024
Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Ariz.
Objective: Pectus arcuatum is a rare variant of pectus deformities that can cause varying degrees of cardiac compression. A review of the evaluation, surgical repair, and outcomes of pectus arcuatum is presented.
Methods: A retrospective review of all patients undergoing surgical treatment of pectus arcuatum at a single institution was conducted between January 1, 2010, and May 31, 2024.
Pediatr Pulmonol
November 2024
Department of Pediatric Medicine, Division of Pulmonology, Sidra Medicine, Doha, Qatar.
Eur J Cardiothorac Surg
November 2024
Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.
BMC Pediatr
November 2024
Public Health Department, Adıyaman Provincial Health Directorate, Eski Saray District Sağlık Ocağı Street, Merkez, Adıyaman, 02100, Turkey.
Background: Chest wall deformities, though relatively uncommon in childhood and adolescence, significantly affect aesthetic perception and can impact cardiac and respiratory function. This study aims to compare individuals with pectus deformities to a healthy control group, shedding light on the condition's etiology and prognosis.
Method: Conducted as a case-control study between 2020 and 2022, the research included a case group of 71 patients with pectus excavatum or pectus carinatum who were followed up at the Pediatric Cardiology outpatient clinic.
Eur J Cardiothorac Surg
November 2024
Department of Thoracic Surgery, Instituto do Coracao (InCor) Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Brazil.
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