Pectus Excavatum Questions & Answers

Updated: Oct 30, 2018
  • Author: Andre Hebra, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Questions & Answers

Overview

What is pectus excavatum?

What is the prevalence of pectus excavatum?

What causes pectus excavatum?

How prevalent is pectus excavatum in the US?

How prevalent is pectus excavatum globally?

What are the possible cardiopulmonary complications of pectus excavatum?

How does the prevalence of pectus excavatum vary by race?

How does the prevalence of pectus excavatum vary by sex?

At what age is pectus excavatum typically identified?

Presentation

Where does pain in pectus excavatum originate?

How does pectus excavatum affect pulmonary function?

How is pulmonary function improved in pectus excavatum?

How is cardiac function affected by pectus excavatum?

What are the physical signs of pectus excavatum?

What is pectus posture in pectus excavatum?

What is the cause of pectus excavatum?

DDX

What are the differential diagnoses for Pectus Excavatum?

Workup

What is the role of lab testing in the diagnosis of pectus excavatum?

What is the role of imaging studies in the workup of pectus excavatum?

What is the role of chest radiography in the management of pectus excavatum?

What is the role of CT scanning in the management of pectus excavatum?

What is the role of echocardiography in the workup of pectus excavatum?

What are the roles of pulmonary function and cardiology tests in the workup of pectus excavatum?

Which procedures are performed during the workup of pectus excavatum?

What is the role of histology in the workup of pectus excavatum?

Treatment

What are the treatment options for pectus excavatum?

What is the role of the open Ravitch surgical technique in the treatment of pectus excavatum?

What is the role of the sternal turn-over technique in the treatment of pectus excavatum?

What is the role of minimally invasive surgery for the treatment of pectus excavatum?

What are indications for surgical repair of pectus excavatum?

Which clinical observations led to the development of minimally invasive surgery for pectus excavatum?

What should be done prior to surgical repair of pectus excavatum?

What anesthesia is used in the surgical repair of pectus excavatum?

What is the surgical procedure for minimally invasive repair of pectus excavatum (MIRPE)?

What is the postoperative care following minimally invasive repair of pectus excavatum (MIRPE)?

What are the advantages and disadvantages of minimally invasive repair of pectus excavatum (MIRPE)?

Which patients are best suited for minimally invasive repair of pectus excavatum?

Which specialist consultations are needed for the management of pectus excavatum?

What dietary modifications are helpful following surgical repair of pectus excavatum?

What are the activity restrictions following surgical repair of pectus excavatum?

Medications

What medication is used for treatment of pectus excavatum?

Follow-up

What monitoring is needed following surgical repair of pectus excavatum?

What are the pain management options following surgical repair of pectus excavatum?

Where should patients who require surgery for pectus excavatum be referred?

What is the role of muscle-building exercise in the management of pectus excavatum?

What is the mortality risk of minimally invasive repair of pectus excavatum (MIRPE)?

What is the post-surgical complication rate for minimally invasive repair of pectus excavatum (MIRPE)?

What is the most common complication of minimally invasive repair of pectus excavatum (MIRPE)?

What are the risks and benefits of minimally invasive repair of pectus excavatum (MIRPE)?

Which surgical risks are eliminated with minimally invasive repair of pectus excavatum (MIRPE)?

What is the postoperative prognosis of pectus excavatum?

What education about pectus excavatum should patient education receive?