title: Z-type pattern pectus excavatum/carinatum in a case of Noonan syndrome.
abstract: Noonan syndrome is a genetic condition that can present with complex thoracic defects, the management of which often presents a surgical challenge. We present the surgical approach applied to a severe combined excavatum/carinatum deformity that had resulted in a Z-type configuration of the chest in a 9-year-old girl with Noonan syndrome.
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Sacco-Casamassima
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Seth D
authors.initials: SD
authors.lastname: Goldstein
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Margaret
authors.initials: M
authors.lastname: Birdsong
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Kimberly H
authors.initials: KH
authors.lastname: McIltrot
authors.affiliation: Division of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Fizan
authors.initials: F
authors.lastname: Abdullah
authors.affiliation: Division of Surgery, All Children's Hospital Johns Hopkins, St. Petersburg, Florida. Electronic address: pc@jhmi.edu.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Colombani
mesh_terms: D002648:Child; D005260:Female; D005660:Funnel Chest / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D009634:Noonan Syndrome / Q000150:complications*; D066166:Pectus Carinatum / Q000209:etiology* / Q000601:surgery*