Nonprosthetic Surgical Repair of Pectus Excavatum

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Nonprosthetic Surgical Repair of Pectus Excavatum Hiroshi Iida, MD, PhD, Yoshio Sudo, MD, PhD, Yasuyuki Yamada, MD, PhD, Yasushi Matsushita, MD, PhD, Kunihiro Eda, MD, PhD, Yuho Inoue, MD, PhD The Annals of Thoracic Surgery Volume 82, Issue 2, Pages 451-456 (August 2006) DOI: 10.1016/j.athoracsur.2006.03.052 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Basic surgical technique of sternocostal elevation. An area of the third to seventh costal cartilages was resected (marked in black). All of the cartilage stumps were then affixed to the sternum with braided polyester sutures. No triangular resection of the upper anterior sternal cortex was performed. The Annals of Thoracic Surgery 2006 82, 451-456DOI: (10.1016/j.athoracsur.2006.03.052) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Chest of 4-year-old boy with pectus excavatum before surgery. Severe asymmetric pectus excavatum and protrusion of costal arches were seen. (B) Resected costal cartilages and lower tip of sternum. (C) One year after sternocostal elevation, the length of the wound was 3.5 cm. Normal chest contour was seen. The Annals of Thoracic Surgery 2006 82, 451-456DOI: (10.1016/j.athoracsur.2006.03.052) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Chest computed tomography of same patient before surgery showed asymmetric pectus excavatum with severe cardiac compression and displacement. (B) Chest computed tomography at 1 month after sternocostal elevation. The depression was corrected. The Annals of Thoracic Surgery 2006 82, 451-456DOI: (10.1016/j.athoracsur.2006.03.052) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions