Skip to main content
SpringerLink
Log in

Pectus Excavatum

  • Chapter
  • First Online:
Chest Wall Deformities and Corrective Procedures

  • 1188 Accesses

Abstract

Among all chest wall deformities Pectus Excavatum (PE) or funnel chest represents the most common congenital chest wall deformity accounting for 90 % of all deformities. The main characteristic is the depression of sternum and lower cartilages (Langer, Herrn JW Wiener med Zeit 49:515, 1880) with an incidence between 1 and 8 per 1000 children.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bauhinus J. Johannes Observatorium medicarum, rararum, novarum, admirabilium, et montrosarum, liber secundus. In: Ioannis Schenckii a Grafenberg, editor. Observation. Frankfurt: De partibus vitalibus, thorace contentis; 1609. p. 322.

    Google Scholar 

  2. Woillez. Sur un cas de deformitée thoracique considérable avec deplacement inoffensif de plusieur organes et signes sthetoscopiaques particulières. Paris: Rap Soc Med d’Hop; 1860. p. 3.

    Google Scholar 

  3. von Luschka H. Die Anatomie der Brust des Menschen. Die Anatomie des Menschen in Rücksicht auf die Bedürfnisse der praktischen Heilkunde. Tübingen: Laupp; 1863. p. 23

    Google Scholar 

  4. Eggel. Eine seltene Mißbildung des Thorax. Virchows Arch Path Anat. 1870;49:230.

    Article  Google Scholar 

  5. Williams CT. Congenital malformation of the thorax great depression of the sternum. Trans Path Soc. 1872;24:50.

    Google Scholar 

  6. Flesch M. Ãœber eine seltene Missbildung des Thorax. Virchows Arch Path Anat. 1873;75:289.

    Article  Google Scholar 

  7. Hagmann. Selten vorkommende Abnormität des Brustkastens. Jb Kinderheilkunde. 1888;15:455.

    Google Scholar 

  8. Langer E. Zuckerkandel: Untersuchungen über den mißbildeten Brustkorb des. Herrn JW Wiener med Zeit. 1880;49:515.

    Google Scholar 

  9. Meyer L. Zur chirurgischen Behandlung der angeborenen Trichterbrust. Berl Klin Wschr. 1911;48:1563–6.

    Google Scholar 

  10. Kelly Jr RE, Lawson ML, Paidas CN, Hruban RH. Pectus excavatum in a 112-year autopsy series: anatomic findings and the effect on survival. J Pediatr Surg. 2005;40:1275–8.

    Article  PubMed  Google Scholar 

  11. Ravitch MM. Repair of pectus excavatum in children under 3 years of age: a twelve-year experience. Ann Thorac Surg. 1977;23:301.

    Article  CAS  PubMed  Google Scholar 

  12. Kelly Jr RE, Shamberger RC, Mellins RB, Mitchell KK, Lawson ML, Oldham K, et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg. 2007;205:205–16.

    Article  Google Scholar 

  13. Fonkalsrud EW, Dunn JC, Atkinson JB. Repair of pectus excavatum deformities: 30 years of experience with 375 patients. Ann Surg. 2000;231:443–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Kotzot D, Schwabegger AH. Etiology of chest wall deformities—a genetic review for the treating physician. J Pediatr Surg. 2009;44:2004–11.

    Article  PubMed  Google Scholar 

  15. Colombani PM. Preoperative assessment of chest wall deformities. Semin Thorac Cardiovasc Surg. 2009;21:58–63.

    Article  PubMed  Google Scholar 

  16. Beiser GD, Epstein SE, Stampfer M, Goldstein RE, Noland SP, Levitsky S. Impairment of cardiac function in patients with pectus excavatum, with improvement after operative correction. N Engl J Med. 1972;287:267–72.

    Article  CAS  PubMed  Google Scholar 

  17. Kubiak R, Habelt S, Hammer J, Hacker FM, Mayr J, Bielek J. Pulmonary function following completion of Minimally Invasive Repair for Pectus Excavatum (MIRPE). Eur J Pediatr Surg. 2007;17:255–60.

    Article  CAS  PubMed  Google Scholar 

  18. Malek MH, Berger DE, Housh TJ, Marelich WD, Coburn JW, Beck TW. Cardiovascular function following surgical repair of pectus excavatum: a metaanalysis. Chest. 2006;130:506–16.

    Article  PubMed  Google Scholar 

  19. Coln E, Carrasco J, Coln D. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg. 2006;41:683–6.

    Article  PubMed  Google Scholar 

  20. Luzzi L, Voltolini L, Zacharias J, Campione A, Ghiribelli C, Di Bisceglie M, et al. Ten year experience of bioabsorbable mesh support in pectus excavatum repair. Br J Plast Surg. 2004;57:733–40.

    Article  CAS  PubMed  Google Scholar 

  21. Malek MH, Berger DE, Marelich WD, Coburn JW, Beck TW, Housh TJ. Pulmonary function following surgical repair of pectus excavatum: a meta-analysis. Eur J Cardiothorac Surg. 2006;30:637–43.

    Article  PubMed  Google Scholar 

  22. Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol. 2007;99:1762–4.

    Article  PubMed  Google Scholar 

  23. Johnson JN, Hartman TK, Pianosi PT, Driscoll DJ. Cardiorespiratory function after operation for pectus excavatum. J Pediatr. 2008;153:359–64.

    Article  PubMed  Google Scholar 

  24. Aronson DC, Bosgraaf RP, Merz EM, van Steenwijk RP, van Aalderen WM, van Baren R. Lung function after the minimal invasive pectus excavatum repair (Nuss procedure). World J Surg. 2007;31:1518–22.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Kelly Jr RE, Cash TF, Shamberger RC, Mitchell KK, Mellins RB, Lawson ML, et al. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study. Pediatrics. 2008;122:1218–22.

    Article  PubMed  Google Scholar 

  26. Brown AL. Pectus excavatum (funnel chest). J Thorac Surg. 1939;9:164–84.

    Google Scholar 

  27. Sweet RH. Pectus excavatum: report of two cases successfully operated upon. Ann Surg. 1944;119:922–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Fokin AA, Robicsek F, Watts LT. Genetic analysis of connective tissue in patients with congenital thoracic abnormalities. Interact CardioVasc Thorac Surg. 2008;7:56.

    Google Scholar 

  29. Nakaoka T, Uemura S, Yano T, Nakagawa Y, Tanimoto T, Suehiro S. Does overgrowth of costal cartilage cause pectus excavatum? A study on the lengths of ribs and costal cartilages in asymmetric patients. J Pediatr Surg. 2009;44:1333–6.

    Article  PubMed  Google Scholar 

  30. Geisbe H, Buddecke E, Flach A, Muller G, Stein U. 88. Biochemical, morphological and physical as well as animal experimental studies on the pathogenesis of funnel chest. Langenbecks Arch Chir. 1967;319:536–41.

    Article  CAS  PubMed  Google Scholar 

  31. Rupprecht H, Hummer HP, Stoss H, Waldherr T. Pathogenesis of chest wall abnormalities—electron microscopy studies and trace element analysis of rib cartilage. Z Kinderchir. 1987;42:228–9.

    CAS  PubMed  Google Scholar 

  32. Feng J, Hu T, Liu W, Zhang S, Tang Y, Chen R, et al. The biomechanical, morphologic, and histochemical properties of the costal cartilages in children with pectus excavatum. J Pediatr Surg. 2001;36:1770–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, University College London Hospitals, The Heart Hospital and Barts Heart Center, London, UK

    Shyam K. Kolvekar MS, MCh, FRCS, FRCSCTh

  2. Department of Cardiothoracic Surgery, University College London Hospitals (UCLH), London, UK

    Nikolaos Panagiotopoulos MD, PhD

Authors
  1. Shyam K. Kolvekar MS, MCh, FRCS, FRCSCTh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nikolaos Panagiotopoulos MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shyam K. Kolvekar MS, MCh, FRCS, FRCSCTh .

Editor information

Editors and Affiliations

  1. Consultant Cardiothoracic Surgeon, The Heart Hospital UCLH , London, United Kingdom

    Shyam Kolvekar

  2. Aarhus University Hospital, Associate. Professor, Department of Cardiothoracic and Vascular Surgery, Department of Clinical Medicine, Aarhus, Denmark

    Hans Pilegaard

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Kolvekar, S.K., Panagiotopoulos, N. (2016). Pectus Excavatum. In: Kolvekar, S., Pilegaard, H. (eds) Chest Wall Deformities and Corrective Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-23968-2_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23968-2_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23966-8

  • Online ISBN: 978-3-319-23968-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation