We report an 18-month-old boy with the association of pectus excavatum and tetralogy of Fallot (TOF). We successfully performed simultaneous pectus repair using sternal elevation without any prosthetic support and total correction of TOF after a prior modified Blalock-Taussig shunt. Retracting a divided costo-sternal complex with a rectus abdominal flap away from the operative field before the ...

Pectus excavatum is a deformity of the chest that consists of backward displacement of the sternum and costal cartilages giving rise to a depression in the xiphisternal area. This malformation may appear isolated or associated with other anomalies. The occurrence of pectus excavatum with congenital heart disease has been reported by several observers (Evans, 1946; and McKusick, 1955). Embarrass...

A 15-year-old boy presented with a moderate pectus excavatum (Figure 1). The preoperative X-rays are shown (Figures 2,3). He complained about cosmetics and did not have any physiological limitations. He plays badminton without symptoms and claims that he has the same level of endurance as his peers. Because of clinical suspicions concerning Marfan syndrome, he had an echocardiography, which was...

BACKGROUND The Nuss repair of pectus excavatum is a relatively new, minimally invasive surgical (MIS) alternative to the traditional open "Ravitch-type" operation. We have one of the larger single-center experiences to date, and we conducted this clinical study to evaluate our early experience, emphasizing initial outcome and technical modifications designed to minimize complications. METHODS...

Pectus excavatum (PEx) is the most common congenital anomaly of the chest wall and is seen in association with many chromosomal syndromes and connective tissue disorders. It causes distortion of the physical and electrical orientation of the heart. We present a case with classic ECG changes along with a selected echocardiographic and a CT image.

We report a late complication of pectus excavatum repair which highlights the importance of a chest X-ray in evaluating chest pain in patients who have had previous chest surgery. It also raises the question of whether or not implanted wires should be electively removed following bony union.