Abstract
Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages accounting for more than 90% of congenital chest wall deformities.1,2 With inward compression and decreased chest volume, PE can be more than a cosmetic deformity. Severe cases frequently result in exercise intolerance and physiologic cardiopulmonary impairment. Often patients with PE are dismissed by their physicians as having an inconsequential cosmetic problem. This misconception has resulted in many patients reaching adulthood with uncorrected severe defects. With the advent of internet-based information sources and the lure of less invasive repair techniques, many adult patients with uncorrected PE are now seeking surgical repair. There is some evidence that a true physiologic impairment associated with the defect may worsen as the patient ages. Cardiopulmonary symptoms may develop in the adolescent; however, others may only develop symptoms with aging. The physiologic data documenting improved cardiopulmonary function and psychosocial function after repair in adults is limited by small sample sizes. Although many studies and a meta-analysis now support repair of PE in the adolescent, only a few studies in adults document physiologic impairment. This chapter reviews the available adult literature regarding treatment of PE in the adult patient.
| Original language | English (US) |
|---|---|
| Title of host publication | Difficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach |
| Publisher | Springer London |
| Pages | 481-488 |
| Number of pages | 8 |
| ISBN (Print) | 9781849963640 |
| DOIs | |
| State | Published - 2011 |
Fingerprint
ASJC Scopus subject areas
- Medicine(all)
Cite this
Pectus excavatum in the adult : Current treatment modalities. / Jaroszewski, Dawn E.; Fraser, Jason D.; Notrica, David M.
Difficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach. Springer London, 2011. p. 481-488.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Pectus excavatum in the adult
T2 - Current treatment modalities
AU - Jaroszewski, Dawn E.
AU - Fraser, Jason D.
AU - Notrica, David M.
PY - 2011
Y1 - 2011
N2 - Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages accounting for more than 90% of congenital chest wall deformities.1,2 With inward compression and decreased chest volume, PE can be more than a cosmetic deformity. Severe cases frequently result in exercise intolerance and physiologic cardiopulmonary impairment. Often patients with PE are dismissed by their physicians as having an inconsequential cosmetic problem. This misconception has resulted in many patients reaching adulthood with uncorrected severe defects. With the advent of internet-based information sources and the lure of less invasive repair techniques, many adult patients with uncorrected PE are now seeking surgical repair. There is some evidence that a true physiologic impairment associated with the defect may worsen as the patient ages. Cardiopulmonary symptoms may develop in the adolescent; however, others may only develop symptoms with aging. The physiologic data documenting improved cardiopulmonary function and psychosocial function after repair in adults is limited by small sample sizes. Although many studies and a meta-analysis now support repair of PE in the adolescent, only a few studies in adults document physiologic impairment. This chapter reviews the available adult literature regarding treatment of PE in the adult patient.
AB - Pectus excavatum (PE) is a posterior depression of the sternum and adjacent costal cartilages accounting for more than 90% of congenital chest wall deformities.1,2 With inward compression and decreased chest volume, PE can be more than a cosmetic deformity. Severe cases frequently result in exercise intolerance and physiologic cardiopulmonary impairment. Often patients with PE are dismissed by their physicians as having an inconsequential cosmetic problem. This misconception has resulted in many patients reaching adulthood with uncorrected severe defects. With the advent of internet-based information sources and the lure of less invasive repair techniques, many adult patients with uncorrected PE are now seeking surgical repair. There is some evidence that a true physiologic impairment associated with the defect may worsen as the patient ages. Cardiopulmonary symptoms may develop in the adolescent; however, others may only develop symptoms with aging. The physiologic data documenting improved cardiopulmonary function and psychosocial function after repair in adults is limited by small sample sizes. Although many studies and a meta-analysis now support repair of PE in the adolescent, only a few studies in adults document physiologic impairment. This chapter reviews the available adult literature regarding treatment of PE in the adult patient.
UR - http://www.scopus.com/inward/record.url?scp=84890004470&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84890004470&partnerID=8YFLogxK
U2 - 10.1007/978-1-84996-492-0_56
DO - 10.1007/978-1-84996-492-0_56
M3 - Chapter
AN - SCOPUS:84890004470
SN - 9781849963640
SP - 481
EP - 488
BT - Difficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach
PB - Springer London
ER -