Journal of Pediatric Surgery
Volume 40, Issue 1 , Pages 174-180 , January 2005

Impact of pectus excavatum on pulmonary function before and after repair with the Nuss procedure

Presented at the 35th Annual Meeting of the American Pediatric Surgical Association, Ponte Vedra, Florida, May 27-30, 2004.

  • M. Louise Lawson

      Affiliations

    • Center for Pediatric Research, Children's Hospital of The King's Daughters and Eastern Virginia Medical School, Norfolk, VA 23507, USA
    • Center for Epidemiology and Biostatistics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA
    • Corresponding Author InformationCorresponding author. Center for Epidemiology and Biostatistics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229-3039, USA. Tel.: +1 513 636 1376; fax: +1 513 636 7509.
    • ,
  • Robert B. Mellins

      Affiliations

    • Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA
    • ,
  • Meredith Tabangin

      Affiliations

    • Center for Pediatric Research, Children's Hospital of The King's Daughters and Eastern Virginia Medical School, Norfolk, VA 23507, USA
    • ,
  • Robert E. Kelly Jr.

      Affiliations

    • Department of Pediatric Surgery, Children's Hospital of The King's Daughters, Norfolk, VA 23507, USA
    • Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA
    • ,
  • Daniel P. Croitoru

      Affiliations

    • Department of Pediatric Surgery, Children's Hospital of The King's Daughters, Norfolk, VA 23507, USA
    • Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA
    • ,
  • Michael J. Goretsky

      Affiliations

    • Department of Pediatric Surgery, Children's Hospital of The King's Daughters, Norfolk, VA 23507, USA
    • Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA
    • ,
  • Donald Nuss

      Affiliations

    • Department of Pediatric Surgery, Children's Hospital of The King's Daughters, Norfolk, VA 23507, USA
    • Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23507, USA

References 

  1. Ravitch MM. The Chest Wall. In: Welch KJ, Randolph JG, Ravitch MM, et al, editors. Pediatric Surgery. 4th ed. Chicago, IL: Year Book Medical; 568-78.
  2. Nuss D, Kelly RE, Croitoru DP, et al. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J. Pediatr. Surg. 1998;33:545–552
  3. Beiser G, Epstien SE, Stampfer M, et al. Impairment of cardiac function in patients with pectus excavatum with improvement after operative correction. N. Engl. J. Med. 1972;99:41–47
  4. Lawson ML, Cash TF, Akers RA, et al. A pilot study of the impact of surgical repair on disease-specific quality of life among patients with pectus excavatum. J. Pediatr. Surg. 2003;38:916–918
  5. Croitoru D, Kelly R, Goretsky M, et al. Experience and modification update for the minimally invasive Nuss technique for pectus excavatum repair in 303 patients. J. Pediatr. Surg. 2002;37:437–445
  6. Knudson RJ, Lebowitz MD, Holberg CJ, et al. Am. Rev. Respir. Dis. 1983;127:725–734
  7. Ochsner A, DeBakey M. Chone-chondrosternon: report of a case and review of the literature. J. Thorac. Surg. 1939;8:469–511
  8. Robbins SL, Cotran RS. Pulmonary obstructive disease. Pathologic Basis of Disease. 2nd ed.. Philadelphia (PA): W.B. Saunders; 1979;
  9. Wynn SR, Driscoll DJ, Ostrom NK, et al. Exercise cardiorespiratory function in adolescents with pectus excavatum. J. Thorac. Cardiovasc. Surg. 1990;99:41–47
  10. Kowalewski J, Barcikowski S, Brocki M. Cardiorespiratory function before and after operation for pectus excavatum: medium-term results. Eur. J. Cardiothorac. Surg. 1998;13:275–279
  11. Ravitch MM. The chest wall. In:  Welch KJ,  Randolph JG,  Ravitch MM, et al. editor. Pediatric Surgery. 4th ed.. Chicago (IL): Year Book Medical; 1989;p. 568–578
  12. Ravitch MM. The operative treatment of pectus excavatum. Ann. Surg. 1949;129:429–444
  13. Shamberger RC. Congenital chest wall deformities. Curr. Probl. Surg. 1996;23:471–542
  14. Haller JA, Loughlin GM. Cardiorespiratory function is significantly improved following corrective surgery for severe pectus excavatum. J. Cardiovasc. Surg. 2000;41:125–130
  15. Zhao L, Feinberg M, Gaides M, et al. Why is exercise capacity reduced in subjects with pectus excavatum?. J. Pediatr. 2000;136:163–167
  16. Mead J, Sly P, LeFouef P, et al. Rib cage mobility in pectus excavatum. Am. Rev. Respir. Dis. 1985;132:1223–1228
  17. Shamburger RC. Cardiopulmonary effects of anterior chest wall deformities. Chest Surg. Clin. N. Am. 2000;10:245–252
  18. Malek MH, Fonkalsrud EW, Cooper CD. Ventilatory and cardovascular reponses to exercise in patients with pectus excavatum. Chest. 2003;124:870–882

PII: S0022-3468(04)00643-8

doi: 10.1016/j.jpedsurg.2004.09.040

Journal of Pediatric Surgery
Volume 40, Issue 1 , Pages 174-180 , January 2005

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