Korean J Thorac Cardiovasc Surg.
2016 Jun;49(3):214-217. 10.5090/kjtcs.2016.49.3.214.
A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. chkang@snu.ac.kr
- KMID: 2285814
- DOI: http://doi.org/10.5090/kjtcs.2016.49.3.214
Abstract
- Pectus arcuatum is a rare complex chest wall deformity. A 31-year-old female presented with a severely protruding upper sternum combined with a concave lower sternum. We planned a modified Ravitch-type operation. Through vertical mid-sternal incision, chondrectomies were performed from the second to fifth costal cartilages, saving the perichondrium. Horizontal osteotomy was performed in a wedge shape on the most protruding point, and followed by an additional partial osteotomy at the most concaved point. The harvested wedge-shape bone fragments were minced and re-implanted to the latter osteotomy site. The osteotomized sternum was fixed with multiple wirings. With chondrosternoplasty, a complex chest wall deformity can be corrected successfully.
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