Pectus excavatum repair

Alternative names:

chest deformity repair; funnel chest repair

Definition:

Surgery to correct pectus excavatum, a deformity of the front of the chest wall with depression of the breastbone (sternum) and rib (costal) cartilages.

Description:

While the child is deep asleep and pain-free (using general anesthesia), an incision is made over the breastbone (sternum). The deformed cartilages are removed and the rib lining is left in place to allow regrowth of the cartilages. An incision is made in the sternum and it is repositioned. A rib or metal strut may be used to stabilize the sternum in normal position until healing occurs in 3 to 6 months. A chest tube may be placed to reexpand the lung if the lining of the lung is entered.

Metal struts are removed 6 months later through a small skin incision under the arm. This procedures is usually done as an outpatient.

Indications:

Repair of pectus excavatum may be recommended for:

• improved appearance (cosmetic repair)
• improved breathing (respiratory function)