Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty

  • Kim, Sang Yoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Park, Samina (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Eung Rae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Park, In Kyu (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Young Tae (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kang, Chang Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • Received : 2015.08.17
  • Accepted : 2015.10.12
  • Published : 2016.06.05
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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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References

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  2. Utilidad de la tomografía multicorte en el tratamiento quirúrgico del pecho arcuato en niños vol.79, pp.3, 2016, https://doi.org/10.35366/96653