Complex repair of pectus excavatum recurrence and massive chest wall defect and lung herniation after prior open repair

For more than 50 years, surgeons used traditional open surgical methods to correct pectus excavatum deformities. These techniques have undergone multiple modifications but involve resection of costal cartilages and mobilization of the sternum to an anterior position. Long-term postoperative complications are rarely published. Recurrence with lung herniation presents unique challenges. We report a technique to repair this condition in a patient with massive chest wall defect and residual excavatum deformity after open repair of his excavatum deformity.