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Ann Thorac Surg 1977;23:417-420
© 1977 The Society of Thoracic Surgeons

Articles

Surgical Management of Pectus Deformities

William H. Heydorn, M.D.*, Russ Zajtchuk, M.D., George F. Schuchmann, M.D., Tracy E. Strevey, M.D.

Thoracic Surgery Service, Department of Surgery, Fitzsimons Army Medical Center, Denver, CO.

Accepted for publication October 27, 1976.

* Address reprint requests to Dr. Heydorn, c/o Technical Publications Editor, Letterman Army Medical Center, Presidio of San Francisco, CA 94129.

We analyzed the long-term results in 87 patients who had pectus deformities repaired at Fitzsimons Army Medical Center during the period 1953 to 1975. Seventy-one patients had operations for correction of pectus excavatum; 16 had pectus carinatum deformities repaired. A variety of surgical techniques was used in these patients. Our findings show that in excavatum deformities the best results were obtained by removing all deformed cartilage, mobilizing the sternum, using an anterior osteotomy, and stabilizing the chest with a metal strut (which was removed after one year). For carinatum defects, the Ravitch procedure has produced good results. We are encouraged to be more aggressive in advocating repair of the deformities, not only for cosmetic results but because the patients seem to feel healthier both physically and mentally after repair. For these reasons we advocate operation for pectus deformity at any age.






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