c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Nuss Procedure for Pectus Excavatum: 1

A D V E R T I S E M E N T

   
 

A 17-year-old male presented with a moderate pectus excavatum deformity that was troubling to him psychologically. He reported mild shortness of breath with strenuous exercise.       

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Nuss Procedure for Pectus Excavatum: 2

A D V E R T I S E M E N T

   
 

The ratio of transverse chest diameter to AP dimension from the anterior border of the spinal column to the deepest part of the sternum is used as an index of severity. A ratio of greater than 3.2 is considered clinically significant. This patient had an index of 2.94, and was considered for correction mainly for cosmetic reasons.      

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Nuss Procedure for Pectus Excavatum: 3

A D V E R T I S E M E N T

   
 

An epidural catheter was placed for post-operative pain control, and the incision sites were marked. Entry and exit incisions were made at the anterior axillary lines bilaterally in line with the deepest part of the pectus. The crosses mark the sites of chest wall penetration just lateral to the apices of the pectus ridges.      

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This page was last modified on 8/27/2001.