Outcome of Surgical Repair of Pectus Excavatum in Adults

Overview

Journal J Cardiothorac Surg

Publisher Biomed Central

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2017 Aug 31

PMID 28851442

Citations 8

Authors

Ayman M Shaalan

Ibrahim Kasb

Eman E Elwakeel

Yusra A Elkamali

Affiliations

Soon will be listed here.

Abstract

Background: Pectus Excavatum (PEx) is the most common congenital chest wall deformity, accounting for over 90% of all chest wall deformities. Surgical correction is recommended because severe PEx can affect the physical and psychological development of patients. The aim of our study was to assess the impact of surgical repair of Pectus Excavatum in adults during hospital course and results after 1 year.

Methods: Prospective study was carried out on 86 adult patients aged ≥ 15 years, 52 males and 34 females (mean age was 26 ± 1.5 years). All cases were divided into two groups, group I: (15-25 years old) and group II: (> 25 years old). Preoperative, operative, and postoperative data were reviewed. Statistical analysis was performed.

Results: Statistical analyses revealed significant improvement postoperatively of cosmetic satisfaction (P-value < 0.0001), pain (P-value =0.0003), exertional dyspnea (p-value <0.05) and exercise tolerance. The degree of chest compression was significantly improved after surgical correction within 12 months and the estimated measurement postoperatively of Haller Index showed significant reduction (p-value <0.001). Patient satisfaction postoperatively was excellent in 77.9% of all cases.

Conclusion: Surgical correction of Pectus Excavatum using open technique in adults had excellent post-operative outcome in the short term follow up that encourage performing the procedure for all cases. Long term results need longer period for follow up. Etiology and predisposing factors still need further research.

Citing Articles

Functional and Aesthetic Outcomes of Patients Underwent Modified Ravitch Technique for Repair of Pectus Excavatum.

A Farag G, Omran A, H Youssif S, S Abd Alaziz R, A Nematallah S, B Abd El Salam A Med J Islam Repub Iran. 2024; 38:95.

PMID: 39678765 PMC: 11644033. DOI: 10.47176/mjiri.38.95.

Thoracic and vertebral deformities in lung transplantation: perioperative complications and long-term prognoses.

Nikkuni E, Hirama T, Ui M, Watanabe T, Mukai S, Watanabe T BMC Pulm Med. 2024; 24(1):347.

PMID: 39026224 PMC: 11256625. DOI: 10.1186/s12890-024-03168-6.

Systematic review of physiological and psychological outcomes of surgery for pectus excavatum supporting commissioning of service in the UK.

Walsh J, Walsh R, Redmond K BMJ Open Respir Res. 2023; 10(1).

PMID: 37827806 PMC: 10582895. DOI: 10.1136/bmjresp-2023-001665.

Evolution of technique and results after permanent open repair for pectus deformities.

Sollie Z, Gleason F, Donahue J, Wei B JTCVS Tech. 2022; 12:212-219.

PMID: 35403047 PMC: 8987321. DOI: 10.1016/j.xjtc.2021.12.008.

Cardiopulmonary Outcomes After the Nuss Procedure in Pectus Excavatum.

Jaroszewski D, Farina J, Gotway M, Stearns J, Peterson M, Pulivarthi V J Am Heart Assoc. 2022; 11(7):e022149.

PMID: 35377159 PMC: 9075480. DOI: 10.1161/JAHA.121.022149.

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