A Model Presentation: Pectus Excavatum

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Presentation transcript:

A Model Presentation: Pectus Excavatum So pay close attention!

What is it?: --define, who “gets it”, its distribution Pectus Excavatum (PE) most common chest wall deformity sternal displacement can happen to anyone more common in white men

Anatomical Problems What’s wrong with how it’s put together Costal cartilage misshappen, which does not allow sternum to rest flush with anterior ribs 2 types

Additional Anatomic Indicators: other stuff that comes with it

Physiological Problems: What’s wrong with how the system works Respiratory reserve Mitral valve MMV SV/CO Test Preoperative Postoperative VC (L) 2.66 [+ or -] .39 4.38 [+ or -] .27 [FEV.sub.1] (L/s) 2.62 [+ or -] .35 3.40 [+ or -] .23 MVV (L/min) 78.64 [+ or -] 3.8 135.6 [+ or -] 4.18

Get Ready!

How is it fixed? Ravitch Technique (1940’s)

Nuss Technique (1987)

Results: What happens after it’s fixed Pre-op Post-op 5% Chance of relapse

Anything Else Interesting? This human condition is shared with one other animal group: