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Hyun Koo Kim
Young Ho Choi
Jae Hoon Shim
Man-Jong Baek
Young-Sang Sohn
Hark Jei Kim
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Ann Thorac Surg 2007;84:647-648
© 2007 The Society of Thoracic Surgeons

Case Reports

Modified Ravitch Procedure: Using a Pectus Bar for Posttraumatic Pectus Excavatum

Hyun Koo Kim, MD, PhD, Young Ho Choi, MD, PhD*, Jae Hoon Shim, MD, Man-Jong Baek, MD, PhD, Young-Sang Sohn, MD, PhD, Hark Jei Kim, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University Medical Center, Seoul, Korea

Accepted for publication March 19, 2007.

* Address correspondence to Dr Choi, 97 Guro-Dong, Guro-Ku, Seoul, 152-703, Korea (Email: kughcs{at}korea.ac.kr).

Guidelines for surgical management of posttraumatic pectus excavatum have not been established due to the variable clinical manifestations and limited number of cases. A 34-year-old man who was involved in a truck-mixer vehicle crash 6 months previously complained of a depressed anterior chest wall deformity. The patient had successfully undergone subperichondral resection, sternal osteotomy, and pectus bar insertion placed under the depressed sternum, followed by bar rotation for elevation of the chest wall. This case illustrates that a modified Ravitch procedure, using a pectus bar, may be an alternative for posttraumatic pectus excavatum.






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