ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical Correction of Pectus Excavatum and Carinatum Deformities: Evaluation of 30 Cases
Berkant Özpolat1, M. F. Tolga Soyal1, Gökhan Gökaslan1, Tulu Tophanelioğlu1, Ali Sarıgül2, Ertan Yücel1
1Sağlık Bakanlığı Ankara Dışkapı Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, Ankara
2Selçuk Üniversitesi Meram Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Konya
Background: We evaluated the results of surgical correction in patients with pectus excavatum and carinatum deformities.

Methods: Between 2000 and 2004, 30 patients (21 males, 9 females; mean age 15.1±3.4 years; range 5 to 20 years) underwent surgical correction for pectus excavatum and carinatum deformities. Nineteen patients (63.3%) had a carinatum, 11 patients (36.7%) had an excavatum deformity. The most common symptom was shortness of breath in 17 patients (56.7%). Six patients (20%) had nonspecific T- and ST-wave changes on electrocardiography and 10 patients (33.3%) had mitral valve prolapse on echocardiography. Scoliosis was present in three patients (10.3%), one of which was severe. Surgical repair was performed with a modified Ravitch procedure in all the patients. The mean follow-up period was 12±3 months.

Results: The length of hospital stay ranged from four to 21 days, with a mean of 4.8±1.4 days and 9.8±4.9 days for carinatum and excavatum deformities, respectively. Early postoperative complications were wound infection in one patient and pneumothorax in another. One patient experienced intermittent attacks of tachycardia for postoperative 24 hours. All the patients were completely satisfied with the operation. The deformity recurred to a moderate degree in one patient in the postoperative sixth month.

Conclusion: The modified Ravitch procedure provided a normal sternal position and a normal appearance of the anterior thoracic wall in patients with pectus excavatum and carinatum deformities, with low morbidity, short postoperative hospital stay, cost-effectiveness, and high patient satisfaction.

Keywords : Cartilage/abnormalities/surgery; child; funnel chest/ surgery; osteotomy; sternum/abnormalities/surgery; thoracic wall/ abnormalities
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