Pectus excavatum (PE) or funnel chest is a dorsal deviation of the sternum and most commonly the third to seventh rib or costal cartilages, resulting in a concave depression of the anterior chest wall. Depending on the severity of PE, deviation of the thoracic organs and spinal deformities (such as scoliosis in 15–21% of patients) may also be present. PE is the most common congenital chest wall abnormality and has an incidence of 1 in 260 births among white infants, 1 per 1400 births among black infants and 1 in 500 in ‘other’ infants. Males are more commonly affected, with a male to female ratio of 4 to1. Autopsy records report PE in 1 of 800 cases. Survival analysis indicates that PE patients tended to die earlier. However, PE patients who survived past the age of 56 years tended to live longer than matched controls.
KeywordsPectus Ravitch Nuss