Pectus excavatum (PE) is the commonest of chest wall anomalies, with a prevalence of 1/300–1000 people. PE represents a cosmetical concern for almost the patients affected, but in most cases, it is a cause of thoracic pain, discomfort, breathing difficulty, and physical exercise limitations. This is due mainly to heart compression by the sternum. Treatment includes conservative methods such as vacuum bell (especially in young patients with mild PE) or surgical approach (thoracoscopic placement of retrosternal bars, Nuss technique). The bar is maintained in situ for 3 years and then removed. This approach should be reserved for centers with large experience, as potential complications are severe.
Pectus Excavatum
Torre M.;Palo F.
2021-01-01
Abstract
Pectus excavatum (PE) is the commonest of chest wall anomalies, with a prevalence of 1/300–1000 people. PE represents a cosmetical concern for almost the patients affected, but in most cases, it is a cause of thoracic pain, discomfort, breathing difficulty, and physical exercise limitations. This is due mainly to heart compression by the sternum. Treatment includes conservative methods such as vacuum bell (especially in young patients with mild PE) or surgical approach (thoracoscopic placement of retrosternal bars, Nuss technique). The bar is maintained in situ for 3 years and then removed. This approach should be reserved for centers with large experience, as potential complications are severe.
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