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Abstract

The technique of pectus excavatum repair that we have used for the past 40 years has been a modification of the classic Ravitch technique. Current indications for repair are a Haller index of greater than 3.2 or symptoms such as exercise intolerance. The principles of the repair are to perform a subperichondrial resection of the costal cartilages, nondisplaced anterior fracture of the sternum, elevation of the sternum with a temporary metal strut, and reapproximation of the chest wall muscles above the closure. The substernal metal strut is left in place for 9–12 months. A modest percentage of our patients are those with Marfan syndrome, who require later aortic root replacement. Some patients with pectus excavatum deformity also require simultaneous intracardiac repair of associated anomalies such as atrial septal defect or ventricular septal defect.

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Correspondence to Carl Lewis Backer .

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© 2015 Springer-Verlag London

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Backer, C.L. (2015). Pectus Excavatum Repair. In: Mavroudis, C., Backer, C. (eds) Atlas of Pediatric Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-5319-1_27

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  • DOI: https://doi.org/10.1007/978-1-4471-5319-1_27

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5318-4

  • Online ISBN: 978-1-4471-5319-1

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