Minimally invasive repair of pectus excavatum: A novel morphology-tailored, patient-specific approach

Park, Hyung Joo; Jeong, Jin Yong; Jo, Won Min; Shin, Jae Seung; Lee, In Sung; Kim, Kwang Taik; Choi, Young Ho

doi:10.1016/j.jtcvs.2009.09.003

Cited by 114 publications

(116 citation statements)

References 19 publications

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“…It has been postulated that PE is a musculoskeletal disease, but its cause or pathogenesis remains unclear (1,2). Previous studies have reported a high incidence of scoliosis among patients with PE due to anatomical relationships (3-7).…”

Section: Discussionmentioning

confidence: 99%

“…Pectus excavatum (PE) is the most common congenital chest wall deformity (1). It is characterized by depression of the anterior chest wall and has been postulated to be a musculoskeletal disease (1,2).…”

Section: Introductionmentioning

confidence: 99%

“…It is characterized by depression of the anterior chest wall and has been postulated to be a musculoskeletal disease (1,2). Previous studies have reported that deformities of the chest wall are related to deformities of the thoracic spine due to anatomical relationships (3)(4)(5); however, there have been few studies on the association between PE and scoliosis, and little is known about the subject (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Nuss procedure on thoracic scoliosis in patients with pectus excavatum

Park¹,

Kim²,

Park³

et al. 2017

J. Thorac. Dis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Nuss procedure on thoracic scoliosis in patients with pectus excavatum

Park¹,

Kim²,

Park³

et al. 2017

J. Thorac. Dis.

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“…It is usually recommended to attempt to raise the sternum during this part of the procedure. This can be accomplished with the use of a vacuum bell (Figures 8,9), Rultract retractor, and/or Park crane technique (12). Of note, the vacuum bell has also been used as a treatment alternative for non-operative management of mild cases of pectus excavatum.…”

Section: Methodsmentioning

confidence: 99%

Minimally Invasive Repair of Pectus Excavatum

Hebra

2009

Seminars in Thoracic and Cardiovascular Surgery

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“…Nineteen patients (17 male and 2 females with a mean age 21.78±6.35) operated with Nuss procedure were included in the study. The detailed explanation of surgical technique has been explained elsewhere [12][13][14][15]. Patients younger than 16 years of age with a history of thoracic surgery, and those with prominent costochondral deformity and angulation preventing adequate ultrasound examination (n=3) were excluded and not listed in the results section.…”

Section: Patientsmentioning

confidence: 99%

Evaluation of the internal thoracic artery blood flow before and after Nuss operation: is it reversible?

Kuru-Bektaşoğlu¹,

Ermerak²,

Çimşit³

et al. 2017

Marmara Medical Journal

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ÖZAmaç: Pektus ekskavatumun, Nuss barları ile minimal invaziv onarımında internal torasik arter (ITA) tıkanması literatürde bildirilmiştir. Bu çalışmada, ITA tıkanıklığının, Nuss bar takılmasından ve çıkarılmasından sonraki durumununun renkli Doppler ultrasonografi ile değerlendirilmesi amaçlanmıştır.Gereçler ve Yöntemler: Nuss bar operasyonu uygulanan 19 hasta çalışmaya prospektif olarak dahil edilmiştir. Renkli Doppler ultrasonografi ile Nuss bar takıldıktan sonra ve Nuss bar çıkartıldıktan sonra ITA akımı karşılaştırılmıştır. Hastalar cinsiyet, yaş, deformitenin simetrisi, Haller indeksi ve takılan bar sayısı açısından değerlendirilmiştir.Bulgular: Nuss bar operasyonu uygulanan 19 pektus ekskavatumlu hasta (17 erkek, 2 kadın, ortalama yaş: 21,78±6.35) çalışmaya alındı. Sekiz hastanın (%42,1) bar çekimi öncesi ve sonrası ITA akımı normal olarak değerlendirildi. Bar çekimi öncesi muayenede 6 hastada çift taraflı (n=2), ya da tek taraflı (n=4) ITA tıkanıklığı, ve 5 hastada çift taraflı (n=2), ya da tek taraflı (n=3) ITA akım bozukluğu tespit edildi. Bar çekildikten sonra etkilenen hastalardan (%57,9) sadece 2 hastada (%10) tıkanma devam etmekteydi. Dokuz hastada ITA kan akımı normal olarak değerlendirildi.Sonuç: Bar çıkartıldıktan sonra, ITA'lerin sadece %10'unda etkilenim devam etmekte idi.Anahtar kelimeler: Pektus ekskavatum, Göğüs duvarı deformiteleri, İnternal torasik arter, Pectus ekskavatumun minimal invaziv onarımı, Doppler ultrasonografi IntroductionPectus excavatum (PE) is characterized by depression of the sternum and costal cartilages (funnel-shaped chest wall) [1]. PE is the most common chest wall deformity which represents the 90% of all chest wall deformities and it has 0.1-0.8% incidence [2,3]. The classic surgical method for correction of PE is the Ravitch sternochondroplasty [4,5]. Large incisions and scars limit this operation's satisfactory results. For more than 20 years, minimally invasive repair ABSTRACT Objective: Obstruction of the internal thoracic arteries (ITAs) by the Nuss bars in minimally invasive repair of pectus excavatum (MIRPE) has been documented in the literature. In this study, we aim to investigate the patency of ITAs before and after repair of the pectus excavatum with the Nuss procedure, by using color Doppler ultrasonography (US). Materials and Methods:Nineteen patients who underwent Nuss procedure were included in this study prospectively. Color Doppler US examinations were performed for comparing ITA patency after insertion of the Nuss bars and after their removal. Patients were evaluated according to gender, age, symmetry of deformity, Haller index, and the number of Nuss bars inserted.Results: Nineteen patients operated with MIRPE (17 male and 2 females with a mean age 21.78±6.35) were enrolled in the study. Eight patients (42.1%) with normal ITA blood flow preoperatively had normal blood flow after removal of the bar. In preoperative examination, 6 patients had bilateral (n=2) or unilateral (n=4) obstruction of the ITA and 5 patients had bilateral (n=2) or unilateral...

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Minimally invasive repair of pectus excavatum: A novel morphology-tailored, patient-specific approach

Cited by 114 publications

References 19 publications

Effects of Nuss procedure on thoracic scoliosis in patients with pectus excavatum

Effects of Nuss procedure on thoracic scoliosis in patients with pectus excavatum

Minimally Invasive Repair of Pectus Excavatum

Evaluation of the internal thoracic artery blood flow before and after Nuss operation: is it reversible?

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