Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation

Seminars in Pediatric Surgery

Volumn 17, Issue 3, 2008, Pages 181-193

  Kelly Jr , Robert E ^a  

^a CHILDREN S HOSPITAL OF THE KING S DAUGHTERS   (United States)

Author keywords

Body image; Cardiac effects; Genetics; History of treatment; Pectus excavatum; Physiologic effects

Indexed keywords

ARTICLE; ELECTROCARDIOGRAM; EMBRYOLOGY; FORCED EXPIRATORY VOLUME; FUNNEL CHEST; HEART VENTRICLE VOLUME; HEREDITY; HUMAN; INCIDENCE; LUNG FUNCTION; MITRAL VALVE PROLAPSE; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; SURGICAL TECHNIQUE; SYMPTOMATOLOGY; THORAX RADIOGRAPHY;

ADOLESCENT; ADULT; CHILD; FUNNEL CHEST; HUMANS; PATIENT SELECTION; RECONSTRUCTIVE SURGICAL PROCEDURES; THORACIC SURGICAL PROCEDURES;

EID: 45449101696     PISSN: 10558586     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.sempedsurg.2008.03.002     Document Type: Article

References (105)

1. Lester C.W. Funnel chest: its cause, effects, and treatment. J Pediatr 37 (1950) 224
2. Ochsner A., and DeBakey M. Chone-Chondrosternon report of a case and review of the literature. J Thorac Surg 8 5 (1939) 469-511
3. Toth G.A., and Buda B.L. Funnel chest (pectus excavatum) in 10-16th century fossil material. J Paleontol 13 2 (2001) 63-66
4. Grove S., Roberts C., Johnstone C., et al. A high status burial from Ripon Cathedral, North Yorkshire, England: differential diagnosis of a chest deformity. Int J Osteoarcheol 13 6 (2003) 358-368
5. Bauhinus J., and Schenck von Grafenberg J. Observationum medicarum, rararum, novarum, admirabilium, et monstrosarum, liber secundus. Departibus vitalibus, thorace contentis. Observation 264 (1594) 516
6. Ravitch M.M. The operative treatment of pectus excavatum. Ann Surg 129 (1949) 429-444
7. Wallgren G.R., and Sulamaa M. Surgical treatment of funnel chest. Exhib VIII, Int Cong Paediatr (1956) 32
8. Meyer L. Fur chirurgischen bedhandlung der angeborenen trichterbrust. Klin Wochenschr 1 (1922) 647
9. Sauerbruch F. Die Chirurgie Der Brustorgane Vol. 1 (1920), Julius Springer, Berlin 437
10. Sauerbruch F. Operative beseitigung der angeborenen trichterbrust. Deutsche Zeitschr Chir 234 (1931) 760
11. Brown A.L. Pectus excavatum (funnel chest): anatomic basis; surgical treatment of the incipient stage in infancy; and correction of the deformity in the fully developed stage. J Thorac Surg 9 (1939) 164-184
12. Ravitch M.M. The chest wall. Pediatric Surgery. (4th ed) (1986), Year Book Medical Publishers, Chicago, IL 568
13. Gross R.E. The Surgery of Infancy and Childhood (1953), W.B. Saunders Company, Philadelphia, PA
14. Welch K.J. Satisfactory surgical correction of pectus excavatum deformity in childhood. J Thorac Surg 36 (1958) 697-713
15. Potts W.J. The Surgeon and the Child (1959), W.B. Saunders, Philadelphia, PA 79
16. Dorner R.A., Keil P.G., and Schissel D.J. Pectus excavatum. J Thorac Surg 20 (1950) 444
17. Adkins P.C., and Blades B.A. Stainless steel strut for correction of pectus excavatum. Surg Gynecol Obstet 113 (1961) 111-113
18. Lane-Smith D.M., Gillis D.A., and Roy P.D. Repair of pectus excavatum using a Dacron vascular graft strut. J Pediatr Surg 29 9 (1994) 1179-1182
19. De Agustin-Asensio J.C., Banuelos C., and Vazquez J.J. Titanium miniplates for the surgical correction of pectus excavatum. J Am Coll Surg 188 4 (1999) 455-458
20. Actis Dato G.M., Cavaglia M., and Ruffini E. The seagull wing self retaining prosthesis in the surgical treatment of pectus excavatum. J Cardiovasc Surg (Torino) 40 1 (1999) 139-146
21. Brooks J.P., and Tripp H.F. Bioabsorbable weave technique for repair of pectus excavatum. J Thorac Cardiovasc Surg 119 1 (2000) 176-178
22. Karagounis V.A., Wasnick J., and Gold J.P. An innovative signle-stage repair of severe asymmetric pectus excavatum defects using substernal mesh bands. Ann Thorac Surg 78 (2004) e19-e21
23. Marks M.W., Argenta L.C., and Lee D.C. Silicone implant correction of pectus excavatum: indications and refinement in technique. Plast Reconstr Surg 74 1 (1984) 52-58
24. Wada J., Ideda K., and Ishida T. Results of 271 funnel chest operations. Ann Thorac Surg 10 6 (1970) 526-532
25. Martinez D., Juame J., Stein T., et al. The effect of costal cartilage resection on chest wall development. Pediatr Surg Int 5 (1990) 170-173
26. Haller J.A., Colombani P.M., Humphries C.T., et al. Chest wall constriction after too extensive and too early operations for pectus excavatum. Ann Thorac Surg 61 (1996) 1618-1625
27. Pircova A.A., Sekarski-Hunkeler N., and Jeanrenaud X. Cardiac perforation after surgical repair of pectus excavatum. J Pediatr Surg 30 10 (1995) 1506-1508
28. Dalrymple-Hay M.J., Calver A., and Lea R.E. Migration of pectus excavatum correction bar into the left ventricle. Eur J Cardiothorac Surg 12 3 (1997) 507-509
29. Onursal E., Toker A., and Bostanci K. A complication of pectus excavatum operation: endomyocardial steel strut. Ann Thorac Surg 68 3 (1999) 1082-1083
30. Paret G., Taustein I., and Vardi A. Laceration of the phrenic artery. A life-threatening complication after repair of pectus excavatum. J Cardiovasc Surg (Torino) 37 2 (1996) 193-194
31. Stefani A., Morandi U., and Lodi R. Migration of pectus excavatum correction metal support into the abdomen. Eur J Cardiothorac Surg 14 4 (1998) 434-436
32. Ellis D.G., Snyder C.L., and Mann C.M. The 'redo' chest wall deformity correction. J Pediatr Surg 32 9 (1997) 1267-1271
33. Lacquet L.K., Morshuis W.J., and Folgering H.T. Long-term results after correction of anterior chest wall deformities. Chest Surg Clin North Am 10 (1998) 277-296
34. Nuss D., Kelly R.E., Croitoru D.P., et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg 33 (1998) 545-552
35. Kelley S.W. Surgical Diseases of Children: A Modern Treatise on Pediatric Surgery (1929), Mosby, St. Louis, MO 903-906
36. Croitoru D.P., Kelly Jr. R.E., Goretsky M.J., et al. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J Pediatr Surg 37 3 (2002) 437-445
37. Rushing G., Goretsky M.J., Morales M., et al. When it's not an infection: metal allergy after the Nuss procedure for repair of pectus excavatum. J Pediatr Surg 42 (2007) 93-97
38. Kelly R.E., Shamberger R.C., Mellins R., et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg 205 2 (2007) 205-216
39. Schier F. Vacuum treatment of pectus excavaatum. Eur J Cardiothorac Surg 30 4 (2006) 687
40. Harrison M.R., Estefan-Ventura D., and Fechter R. Magnetic mini-mover procedure for pectus excavtum: development, design and simulations for feasibility and safety. J Pediatr Surg 42 (2007) 81-86
41. Chung C.S., and Myrianthopoulos N.C. Factors affecting risks of congenital malformations. I. Analysis of epidemiologic factors in congenital malformations. Report from the Collaborative Perinatal Project. Birth Defects Orig Artic Ser 11 10 (1975) 1-22
42. Odelowo E.O. Congenital chest wall malformations in Nigerians. Afr J Med Sci 18 4 (1989) 263-268
43. Kaguraoka H., Ohnuki T., Itaoka T., et al. Degree of severity of pectus excavatum and pulmonary function inpreoperative and postoperative periods. J Thorac Cardiovasc Surg 104 (1992) 1483-1488
44. Park H.J., Lee S.Y., and Lee C.S. Complications associated with the Nuss procedure: analysis of risk factors and suggested measures of prevention of complications. J Pediatr Surg 39 (2004) 391-395
45. Nowak H. Die erblische Trichterbrust. Duetsche Med Wchnschr 62 (1936) 2003
46. Shamberger R.C. Congenital chest wall deformities. Pediatric Surgery. (5th ed) (1998), Elsevier, Philadelphia, PA 787-817
47. Fossum T.W., Boudrieau R.J., and Hobson H.P. Surgical correction of pectus excavatum, using external splintage in two dogs and a cat. North Am Vet Med Assoc 195 1 (1989) 91-97
48. McAnulty J.F., and Harvey C.E. Repair of pectus excavatum by percutaneous suturing and temporary external coaptation in a kitten. J Am Vet Med Assoc 194 8 (1989) 1065-1067
49. Garland M.R., Lawler L.P., and Whitaker B.R. Modern CT applications in veterinary medicine. Radiographics 22 1 (2002) 55-62
50. Kelly Jr. R.E., Lawson M.L., Paidas C.N., et al. Pectus excavatum in a 112-year autopsy series: anatomic findings and the effect on survival. J Pediatr Surg 40 (2005) 1275-1278
51. Sadler T.W. Embryology of the sternum. Chest Surg Clin North Am 10 2 (2000) 237-244
52. Johnston T.B., and Whillis J. Gray's Anatomy (1954), Longmans, Green and Co, London 244
53. Wong M., and Carter D.R. Mechanical stress and morphogenetic endochondral ossification of the sternum. J Bone Joint Surg 70 7 (1988) 992-1000
54. Ashley G.T. The relationship between the pattern of ossification and the definitive shape of the mesosternum in man. J Anat 90 (1956) 104
55. Van Meurs K., and Short B.L. Congenital diaphragmatic hernia: the neonatologist's perspective. Pediatr Rev 20 (1999) 79-87
56. Ohara K., Nakamura K., and Ohta E. Chest wall deformities and thoracic scoliosis after costal cartilage graft harvesting. Plast Reconstr Surg 99 4 (1997) 1030-1036
57. Olsen K.D., Kern E.B., and O'Connell E.J. Pectus excavatum: resolution after surgical removal of upper airway obstruction. Laryngoscope 90 (1980) 832-837
58. Fan L., and Murphy S. Pectus excavatum from chronic airway obstruction. Am J Dis Child 135 (1981) 550-552
59. Lane R.W., Weider D.J., Steinem C., et al. Laryngomalacia: a review and case report of surgical treatment with resolution of pectus excavatum. Arch Otolaryngol 110 (1984) 546-551
60. Bach J.R., and Bianchi C. Prevention of pectus excavatum for children with spinal muscular atrophy type 1. Am J Phys Med Rehabil 82 10 (2003) 815-819
61. Feng J., Hu T., Liu W., et al. The biomechanical, morphologic and histochemical properties of the costal cartilages in children with pectus excavatum. J Pediatr Surg 26 12 (2001) 1770-1776
62. Coulson W. Deformities of the chest. London Med Gaz 4 (1820) 69-73
63. Williams C.T. Congenital malformation of the thorax: great depression of the sternum. Tr Path Soc London 24 (1872) 50
64. Creswick H.A., Stacey M.W., Kelly Jr. R.E., et al. Family study of the inheritance of pectus excavatum. J Pediatr Surg 41 (2006) 1699-1703
65. Snyder L.H., and Curtis G.M. An inherited "hollow chest", koilosternia, a new character dependent upon a dominant autosomal gene. J Hered 25 (1934) 445-447
66. Stoddard S.E. The inheritance of "hollow chest", cobbler's chest due to heredity: not an occupational deformity. J Hered 30 (1939) 139-141
67. Leung A.K., and Hoo J.J. Familial congenital funnel chest. Am J Med Genet 26 4 (1987) 887-890
68. Salamanca A., Girona A., Padilla M.C., et al. Prenatal diagnosis of pectus excavatum and its relation to Down's syndrome. Ultrasound Obstet Gynecol 2 6 (1992) 446-447
69. Shamberger R.C., Welch K.J., and Sanders S.P. Mitral valve prolapse associated with pectus excavatum. J Pediatr 111 (1987) 404-407
70. Shamberger RC. Congenital chest wall deformities. In: Pediatric Surgery (5th ed). Philadelphia, PA: Elsevier, 1998:787-817.
71. Waters P., Welch K., Micheli L.J., et al. Scoliosis in children with pectus excavatum and pectus carinatum. J Pediatr Orthoped 9 (1989) 551-556
72. Cartoski M., Kelly R.E., Nuss D., et al. Classification of the dysmorphology of pectus excavatum. J Pediatr Surg 41 (2006) 1573-1581
73. Mueller C., Saint-Vil D., and Bouchard S. Chest x-ray as a primary modality for preoperative imaging of pectus excavatum. J Pediatr Surg 43 (2008) 71-73
74. Chang P.Y., Lai J.Y., Chen J.C., et al. Long-term changes in bone and cartilage after Ravitch's thoracoplasty: findings from multislice computed tomography with 3-dimensional reconstruction. J Pediatr Surg 41 12 (2006) 1947-1950
75. Lawson M.L., Barnes-Eley M., Burke B.L., et al. Reliability of a standardized protocol to calculate cross-sectional chest area and severity indices to evaluate pectus excavatum. J Pediatr Surg 41 (2006) 1219-1225
76. Daunt S.W., Cohen J.H., and Miller S.F. Age-related normal ranges for the Haller index in children. Pediatr Radiol 34 4 (2004) 326-330
77. Kilda A., Basevicius A., Barauskas V., et al. Radiological assessment of children with pectus excavatum. Ind J Pediatr 74 2 (2007) 143-147
78. Lawson M., Cash T., Akers R., et al. A pilot study of the impact of surgical repair on disease-specific quality of life among patients with pectus excavatum. J Pediatr Surg 38 6 (2003) 916-918
79. Kelly RE Jr, Cash TF, Shamberger RC, et al. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: a multicenter study. Pediatrics. In press.
80. Malek M.H., Berger D.E., and Housh T.J. Cardiovascular function following surgical repair of pectus excavatum: a metaanalysis. Chest 130 (2006) 506-516
81. Derveaux L., Ivanoff I., Rochette F., et al. Mechanism of pulmonary function changes after surgical correction for funnel chest. Eur Respir J 1 9 (1988) 823-825
82. Morshuis W., Folgering H., Barentsz J., et al. Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest 105 6 (1994) 1646-1652
83. Weber T.R. Further experience with the operative management of asphyxiating thoracic dystrophy after pectus repair. J Pediatr Surg 40 (2005) 173-175
84. Saint-Mezard G., Duret J.C., and Chanudet X. Mitral valve prolapse and pectus excavatum. Presse Med 15 (1986) 439
85. Warth D.C., King M.E., and Cohen J.M. Prevalence of mitral valve prolapse in normal children. J Am Coll Cardiol 5 (1985) 1173-1177
86. Raggi P., Callister Q., Lippolis N.J., et al. Is mitral valve prolapse due to cardiac entrapment in the chest cavity?. A CT view. Chest 117 3 (2000) 636-642
87. Nuss D., Croitoru D.P., and Kelly R.E. Congenital chest wall deformities. In: Ashcraft K.W., Holcomp III G.W., and Murphy J.P. (Eds). Pediatric Surgery. (4th ed) (2005), Elsevier Saunders, Philadelphia, PA 245-263
88. Mocchegiani R., Badano L., Lestulli C., et al. Relation of right ventricular morphology and function in pectus excavatum to the severity of the chest wall deformity. Am J Cardiol 76 (1995) 941-946
89. Garusi G.F., and D'Ettorre A. Angiocardiographic patterns in funnel-chest. Cardiologia 45 (1964) 312
90. Bevegard S. Postural circulatory changes at rest and during exercise in patients with funnel chest, with special reference to factors affecting the stroke volume. Acta Med Scand 171 (1962) 695
91. Beseir G.D., Epstein S.E., Stampfer M., et al. Impairment of cardiac function in patients with pectus excavatum, with improvement after operative correction. N Engl J Med 287 (1972) 267
92. Heitzer T.A., and Wollschlager H. Pectus excavatum with interior ischemia in right lateral position. Circulation 98 (1998) 605-606
93. Theerthakarai R., El-Halees W., Javadpoor S., et al. Severe pectus excavatum associated with cor pulmonale and chronic respiratory acidosis in a young woman. Chest 119 6 (2001) 1957-1961
94. Sigalet D., Montgomery M., and Harder J. Cardiopulmonary effects of closed repair of pectus excavatum. J Pediatr Surg 38 (2003) 380-385
95. Malek M.H., Fonkalsrud E.W., and Cooper C.B. Ventilatory and cardiovascular responses to exercise in patients with pectus excavatum. Chest 124 (2003) 870-882
96. Coln E., Carrasco J., and Coln D. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg 41 4 (2006) 683-686
97. Sigalet D.L., Montgomery M., Harder J., et al. Long term cardiopulmonary effects of closed repair of pectus excavatum. Pediatr Surg Int 23 5 (2007) 493-497
98. Rumsey N., and Harcourt D. Body image and disfigurement: issues and intervention. Body Image Int J Res 1 (2004) 83-97
99. Wheeler R., and Foote K. Pectus excavatum: studiously ignored in the United Kingdom?. Arch Dis Child 82 3 (2000) 187-188
100. Robert J., Hayashi A., Anderson J.O., et al. Quality of life of patients who have undergone the Nuss procedure for pectus excavatum: preliminary findings. J Pediatr Surg 38 5 (2003) 779-783
101. Krasopoulos G., Dusmet M., Ladas G., et al. Nuss procedure improves the quality of life in young male adults with pectus excavatum deformity. Eur J Cardiothorac Surg 29 (2006) 1-5
102. Moss T.P. The relationships between objective and subjective ratings of disfigurement severity, and psychological adjustment. Body Image Int J Res 2 (2005) 151-159
103. Ong J., Clarke A., White P., et al. Does severity predict distress?. The relationship between subjective and objective measures of appearance and psychological adjustment, during treatment for facial lipoatrophy. Body Image Int J Res 4 (2007) 239-248
104. Tebble N.J., Thomas D.W., and Price P. Anxiety and self-consciousness in patients with minor facial lacerations. J Adv Nurs 47 (2004) 417-426
105. Nuss D., and Kuhn M.A. Our approach: MIS repair of pectus excavatum. Contemp Surg 63 9 (2007) 444-451