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Surgical correction of recurrent pectus excavatum of an adult patient, case report, and review of literature

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Abstract

Purpose

The aim of this paper is to review the literature on recurrent pectus excavatum (PE) and present our surgical approach to a complex case of recurrent PE in an adult patient at a Mexican Hospital.

Methods

We present the case of an adult patient with severe and symptomatic PE, with history of a failed Nuss procedure 1 year previous our intervention, which consisted of a combination of both classic techniques, by performing an osteochondrectomy of affected cartilages and placing a titanium bar substernal and stabilizing coastal arches with secondary osteosynthesis system (Stratos ™ system, medXpert, Germany).

Results

Adequate correction of thoracic silhouette and both cardiac and respiratory disorders in the 1-year follow-up was achieved as indicated by the improvement of the patient’s Haller index.

Conclusion

Successful surgical correction of pectus excavatum is achieved when the thoracic silhouette is restored, thus improving cardiopulmonary symptoms. As there are many different techniques available, the more minimally invasive ones are reserved for mild cases, but the treatment of complex cases as in our patient requires a combination of multiple techniques and reconstruction materials in order to achieve adequate correction of the thoracic deformity and reduce recurrence rate.

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Author information

Correspondence to Jorge Arturo Rojas Ortiz.

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Ethics Committee approval

No, this is a case report and literature revision so no experiment was performed.

Informed Consent

We have informed consent for both surgery and the development of this paper.

Human and animal rights

This is a case report and literature revision so no experiment was performed , no animals were involved either.

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Ortiz, J.A.R., Abrego, B.V. Surgical correction of recurrent pectus excavatum of an adult patient, case report, and review of literature. Indian J Thorac Cardiovasc Surg (2020). https://doi.org/10.1007/s12055-019-00913-z

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Keywords

  • Pectus excavatum
  • Chest wall repair
  • Osteosynthesis
  • Reconstruction
  • Deformity
  • Recurrence