Chest wall deformities Latest Topicshttps://pediatricsurgeryclub.com/forum/180-chest-wall-deformities/Chest wall deformities Latest Topicsen23/8/2026https://pediatricsurgeryclub.com/topic/3511-2382026/A 14-year-old boy presents with a chest wall deformity, pictured below. His mother says his chest looked abnormal at 7-years-old. He has chest pain and exercise intolerance. He and his parents want to improve the appearance of his chest. After chest CT and echocardiogram, which of the following is the most appropriate management?

 

repview(6).jpeg.dddad59549634a1af18d0b948f349b63.jpeg

 

a Trial of bracing

 

b Hybrid Ravitch/Nuss procedure

 

c Observation for two years

 

d Trial of combined bracing and vacuum bell

 

e Sternal rotation

]]>3511Sun, 23 Aug 2026 13:24:58 +00005/10/2025https://pediatricsurgeryclub.com/topic/3461-5102025/A 15-year old boy is in your clinic for evaluation of pectus excavatum. The patient confesses that the deformity bothers him from a cosmetic and social viewpoint. However, he and his parents are mostly concerned that he feels shortness of breath with moderate exercise and are focused on how correction will affect his cardiopulmonary status. You tell them that the evidence suggests that they should expect

 

a improved pulmonary function testing early with regression after bar removal.

 

b improved pulmonary function testing but decreased cardiac function in the first year after operation.

 

c the most improvement in cardiopulmonary function is with an open Ravitch approach.

 

d improvement in cardiac output and exercise tolerance due to improvement in LV function.

 

e resolution of paradoxical motion of abdominal wall muscles during deep respiration.

]]>3461Sun, 05 Oct 2025 13:21:51 +000027/4/2025https://pediatricsurgeryclub.com/topic/3384-2742025/A 17 year old boy with Marfan syndrome and a pectus excavatum desires repair. He undergoes a CT of the chest for preop planning with the following findings: his calculated Haller Index is 4 and his aortic root is 5.0 cm. He is without symptoms. The next step in management should be:

 

 

IMG_7829.jpg.49f4a79e1cb63f8ac1cd9bb3ec9b9b8f.jpg IMG_7830.jpg.ebc971eff57a11fe517a42fd3bb44fbd.jpg

 

 

[size=20px]A Immediate cardiac surgery for aortic root replacement alone

 

B Immediate cardiac surgery evaluation for combined procedure

 

C Elective Nuss bar repair

 

D Elective Ravitch Repair

 

E Observation

[/size]

]]>3384Sun, 27 Apr 2025 11:15:06 +000026/1/2025https://pediatricsurgeryclub.com/topic/3342-2612025/A 17-year-old young man presents with the following chest wall condition, What is the most appropriate management to treat this condition?

 

 

repview.jpg.3c2647c33f4627f4be13ff7f40f85588.jpg

 

 

[size=20px]a Pectus compression brace

 

b Reverse Nuss procedure

 

c Nuss Procedure

 

d Open repair with sternal plating

 

e Sandwich technique[/size]

]]>3342Sun, 26 Jan 2025 13:21:57 +0000Nuss procedurehttps://pediatricsurgeryclub.com/topic/2205-nuss-procedure/see video link in second post

 

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]]>2205Thu, 03 Jun 2021 09:26:01 +0000Indications of Nuss operationhttps://pediatricsurgeryclub.com/topic/3263-indications-of-nuss-operation/68E1F844-ECAB-41E9-8303-9C7FC1DE4B67.jpg.72886f5da07932b31c95eb079fa0de12.jpg .]]>3263Mon, 28 Oct 2024 06:03:04 +000024/3/2024https://pediatricsurgeryclub.com/topic/3136-2432024/A 15-year-old girl underwent a minimally invasive repair of pectus excavatum two months ago. During a recent cheerleading event she attempted to do a flip and felt a sharp right sided pain. She is now asymptomatic. A chest x-ray was performed (shown below).

 

 

[center]repview?type=645-495&name=2_1568248_Standard[/center]

 

 

 

 

[size=20px]What is the best next step in management of the patient?

 

A Replace the stabilizer

 

B Observation

 

C Reposition bar

 

D Remove the stabilizer

 

E Place a second bar[/size]

]]>3136Sun, 24 Mar 2024 12:58:39 +0000cbclips Episode 34https://pediatricsurgeryclub.com/topic/2777-cbclips-episode-34/A baby girl is born at term by vaginal delivery after an uncomplicated pregnancy. Fetal ultrasounds at 20 and 34 weeks gestation were normal. She is transferred to you at a few hours of life with the chest wall defect seen below. She is entirely asymptomatic and her exam is otherwise normal. How would you manager her?

 

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]]>2777Sun, 02 Oct 2022 03:31:29 +0000Haller Index and Correction Index measurement in assessment of Pectus excavatumhttps://pediatricsurgeryclub.com/topic/2946-haller-index-and-correction-index-measurement-in-assessment-of-pectus-excavatum/2023-07-28_07-30-24.jpg.af3c90b3fd0c234bfc43d884da04ca79.jpg]]>2946Fri, 28 Jul 2023 04:33:03 +0000Vacuum bell for pectus excavatumhttps://pediatricsurgeryclub.com/topic/2913-vacuum-bell-for-pectus-excavatum/repview(6).jpg.4386a5ce97fdbe4e7cb6cbbca39be5f6.jpg]]>2913Sun, 04 Jun 2023 13:35:07 +00002/4/2023https://pediatricsurgeryclub.com/topic/2881-242023/A newborn infant presents with a sternal cleft. She is stable on room air. Her parents request the defect be closed as soon as possible. What is the best next step in the baby’s management?

[center]

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[size=20px]A Renal ultrasound

 

B Cardiac echo

 

C Abdomen CT

 

D Head MRI[/size]​

]]>2881Sun, 02 Apr 2023 14:44:35 +0000Minimally invasive repair of pectus excavatumhttps://pediatricsurgeryclub.com/topic/1663-minimally-invasive-repair-of-pectus-excavatum/

see in next post

]]>1663Tue, 01 Dec 2020 10:52:34 +0000primary repair of sternal clefthttps://pediatricsurgeryclub.com/topic/2524-primary-repair-of-sternal-cleft/see video link in second post

 

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]]>2524Mon, 13 Dec 2021 17:21:59 +0000zip to rip for pectus carinatumhttps://pediatricsurgeryclub.com/topic/2184-zip-to-rip-for-pectus-carinatum/see video link in second post

 

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]]>2184Tue, 01 Jun 2021 08:24:31 +0000In TTT of Pectus excavatumhttps://pediatricsurgeryclub.com/topic/1908-in-ttt-of-pectus-excavatum/89863093_1049130365460213_6490645334669131776_n.jpg.fcabe3b0ece2d8482b5010104bbf4049.jpg

 

 

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]]>1908Mon, 15 Mar 2021 07:03:15 +0000Minimally invasive repair of pectus carinatumhttps://pediatricsurgeryclub.com/topic/1664-minimally-invasive-repair-of-pectus-carinatum/See in second post]]>1664Tue, 01 Dec 2020 11:25:50 +0000