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Review
. 2020 Aug;20(8):287-293.
doi: 10.1016/j.bjae.2020.04.003. Epub 2020 Jul 1.

Anaesthesia for the surgical correction of chest wall deformities

T Ghafoor  1 , M Edsell  2 , I Hunt  2
Affiliations
Review

Anaesthesia for the surgical correction of chest wall deformities

T Ghafoor et al. BJA Educ. 2020 Aug.
No abstract available

Keywords: anaesthesia; funnel chest; pectus carinatum; thoracic wall.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig. 1
Fig. 1
Example of pectus excavatum showing depression of the anterior chest wall.
Fig. 2
Fig. 2
Example of pectus carinatum demonstrating sternal protrusion and resulting convexity of the chest wall.
Fig. 3
Fig. 3
Chest CT showing right asymmetric PC - note there is no resultant impingement on the heart or lungs.
Fig. 4
Fig. 4
Chest CT showing the Haller Index used to assess the severity of PE. The red line is the transverse chest wall distance (distance 1). The blue line is the anteroposterior distance and represents how close the back of the sternum gets to the front of the spinal or vertebral column (distance 2). Haller Index = distance 1/distance 2.
Fig. 5
Fig. 5
Typical chest X-ray appearance after bar placement (the blue circle shows the shift of the heart before and after bar insertion).
Fig. 6
Fig. 6
Chest CT showing significant sternal depression (blue arrow) and displacement of the heart and left lung (red arrow) in a patient with PE.
See this image and copyright information in PMC

References

    1. Brochhausen C., Turial S., Müller F.K. Pectus excavatum: history, hypotheses and treatment options. Interact Cardiovasc Thorac Surg. 2012;14:801–806. - PMC - PubMed
    1. NHS England . 2019. Clinical commissioning policy: surgery for pectus deformity.https://www.england.nhs.uk/wp-content/uploads/2019/02/1675-Policy_Surger... Available from:
    1. Fraser S., Hunt I. Thoracic surgical correction of pectus excavatum: minimal and open approaches. In: Chavoin J.P., editor. Pectus excavatum and Poland syndrome surgery. Springer; Cham: 2019. pp. 99–114.
    1. Steinmann C., Krille S., Mueller A., Weber P., Reingruber B., Martin A. Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: a control group comparison of psychological characteristics prior to surgical correction. Eur J Cardiothorac Surg. 2011;40:1138–1145. - PubMed
    1. de Oliveira Carvalho P.E., da Silva M.V., Rodrigues O.R., Cataneo A.J. Surgical interventions for treating pectus excavatum. Cochrane Database Syst Rev. 2014;10:CD008889. - PMC - PubMed