A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty.
10.5090/kjtcs.2016.49.3.214
- Author:
Sang Yoon KIM
1
;
Samina PARK
;
Eung Rae KIM
;
In Kyu PARK
;
Young Tae KIM
;
Chang Hyun KANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. chkang@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pectus carinatum;
Funnel chest;
Thoracic wall;
Sternum;
Bone transplantation
- MeSH:
Adult;
Bone Transplantation;
Congenital Abnormalities;
Costal Cartilage;
Female;
Funnel Chest;
Humans;
Osteotomy;
Pectus Carinatum;
Sternum;
Thoracic Wall
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(3):214-217
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pectus arcuatum is a rare complex chest wall deformity. A 31-year-old female presented with a severely protruding upper sternum combined with a concave lower sternum. We planned a modified Ravitch-type operation. Through vertical mid-sternal incision, chondrectomies were performed from the second to fifth costal cartilages, saving the perichondrium. Horizontal osteotomy was performed in a wedge shape on the most protruding point, and followed by an additional partial osteotomy at the most concaved point. The harvested wedge-shape bone fragments were minced and re-implanted to the latter osteotomy site. The osteotomized sternum was fixed with multiple wirings. With chondrosternoplasty, a complex chest wall deformity can be corrected successfully.
