Current management of pectus excavatum: A review and update of therapy and treatment recommendations

Dawn E. Jaroszewski, David Notrica, Lisa McMahon, D. Eric Steidley, Claude Deschamps

Research output: Contribution to journalReview article

117 Scopus citations

Abstract

Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages and is frequently seen by primary care providers. PE accounts for >90% of congenital chest wall deformities. Patients with PE are often dismissed by physicians as having an inconsequential problem; however, it can be more than a cosmetic deformity. Severe cases can cause cardiopulmonary impairment and physiologic limitations. Evidence continues to present that these physiologic impairments may worsen as the patient ages. Data reports improved cardiopulmonary function after repair and marked improvement in psychosocial function. More recent consensus by both the pediatric and thoracic surgical communities validates surgical repair of the significant PE and contradicts arguments that repair is primarily cosmetic. We performed a review of the current literature and treatment recommendations for patients with PE deformities.

Original languageEnglish (US)
Pages (from-to)230-239
Number of pages10
JournalJournal of the American Board of Family Medicine
Volume23
Issue number2
DOIs
StatePublished - Mar 1 2010

Keywords

  • Cardiovascular disorders
  • Chest wall deformities
  • Congenital defects
  • Connective tissue
  • Musculoskeletal
  • Pectus excavatum
  • Review

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

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