A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty.
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.
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
Sang Yoon
SY
Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
Samina
S
Park
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
Eung Rae
ER
Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
In Kyu
IK
Park
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
Young Tae
YT
Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
Chang Hyun
CH
Kang
Bone transplantation; Funnel chest; Pectus carinatum; Sternum; Thoracic wall