Disorders of the Chest Wall III - Advanced

Author: Stephen C. Yang, MD
Institution: Johns Hopkins Medical Institutions
Date Reviewed: April 2014
Learning Domain: General Thoracic
Learning Objective: Congenital and Pectus Deformity
PowerPoint File: Disorders of the Chest Wall III - Advanced

Learning Goals

• The advanced level concepts focused on:
  • Congenital and Pectus Deformity

Learning Points

• Know the cardiopulmonary effects of severe pectus excavatum
• Understand the parameters when to offer surgical correction of pectus abnormalities (Haller Index > 3.2)
• Surgical options of pectus repair:
  • Insertion of Nuss bar (generally younger patients)
  • Need for chondrectomy (ies)
  • Wedge osteotomy
  • Methods for sternal stabilization after wedge osteotomy (bar posterior, anterior sternal couplers)
  • Muscle flap coverage in midline