A Model Presentation: Pectus Excavatum So pay close attention!
1.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
1.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 reserveMitral valve MMVSV/CO Test Preoperative Post operative VC (L) 2.66 [+ or -] [+ or -].27 [FEV.sub.1] (L/s) 2.62 [+ or -] [+ or -].23 MVV (L/min) [+ or -] [+ 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: