European Radiology

, Volume 4, Issue 3, pp 197–202 | Cite as

Chest radiography in pectus excavatum: Recognition of pectus excavatum-related signs and assessment of severity before and after surgical correction

  • W. J. Morshuis
  • J. O. Barentsz
  • L. K. Lacquet
  • H. T. Folgering
  • J. G. Mulder
  • H. J. J. Van Lier
  • A. L. Cox
Chest radiology


A combined retrospective and prospective study describes findings on posteroanterior (PA) chest films and evaluates objective measurements on lateral chest films in pectus excavatum, both before and after surgical correction. Dispiacement of the heart to the left was seen in more than 50%, of patients and was significantly less predominant 1 year after operation, whereas other signs resulting from compression by the anterior chest wall remained unchanged or needed more time to be resolved. In both study groups the lower vertebral index and upper vertebral index in pectus excavatum patients was higher than predicted (P < 0.0001), reflecting smaller PA diameters of the chest. The diameters increased after operation (P < 0.0001), especially the lower. A significant relation was found between clinical severity and radiologic depth of depression. There was no significant relation between clinical operative result and radiologic postoperative changes in chest diameters.


Pectus excavatum Funnel chest Chest radiograph 


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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • W. J. Morshuis
    • 1
  • J. O. Barentsz
    • 2
  • L. K. Lacquet
    • 1
  • H. T. Folgering
    • 4
  • J. G. Mulder
    • 1
  • H. J. J. Van Lier
    • 3
  • A. L. Cox
    • 4
  1. 1.Department of Thoracic and Cardiac SurgeryUniversity Hospital NijmegenNijmegenThe Netherlands
  2. 2.Department of Diagnostic RadiologyUniversity Hospital NijmegenNijmegenThe Netherlands
  3. 3.Department of Medical StatisticsUniversity Hospital NijmegenNijmegenThe Netherlands
  4. 4.Department of Pulmonary Diseases, University of NijmegenMedical Centre DekkerswaldGroesbeekThe Netherlands

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