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Thorac Cardiovasc Surg 2001; 49(1): 41-44
DOI: 10.1055/s-2001-9919
Original Cardiovascular
© Georg Thieme Verlag Stuttgart · New York

Correction of Anterior Thoracic Wall Deformities: Improved Planning by Means of 3D-Spiral-Computed Tomography[*]

J. M. Albes1 , M. D. Seemann2 , M. K. Heinemann1 , G. Ziemer1
  • 1Division of Thoracic, Cardiac, and Vascular Surgery
  • 2Department of Diagnostic Radiology, University Hospital Tübingen, Germany
Further Information

Publication History

Publication Date:
31 December 2001 (online)

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Surgical correction of anterior thoracic wall deformities is an extensive procedure with considerable operative trauma. The procedure can be markedly supported by means of preoperative 3D spiral-computed tomography for the purpose of improved preoperative planning in order to avoid unnecessary tissue mobilization. It is also helpful to enhance the patients' comprehension regarding the operative requirements.

Key words:

Thoracic wall deformities - Pectus excavatum - Pectus carinatum - Funnel chest - Pigeon chest - Spiral CT

1 Presented at the 3rd Joint Meeting of the German, the Austrian and the Swiss Societies for Thoracic and Cardiovascular Surgery, February 9 - 12, 2000 Lucerne

References

  • 1 Singh S V U. Surgical correction of pectus excavatum and carinatum.  Thorax. 1980;  35 700-702
    PubMedGoogle Scholar
  • 2 Lacquet L K, Morshuis W J, Folgering H T. Long-term results after correction of anterior chest wall deformities.  J Cardiovasc Surg Torino. 1998;  39 683-688
    PubMedGoogle Scholar
  • 3 Arn P H, Scherer L R, Haller J A Jr, Pyeritz R E. Outcome of pectus excavatum in patients with Marfan syndrome and in the general population.  J Pediatr. 1989;  115 954-958
    CrossrefPubMedGoogle Scholar
  • 4 Waters P, Welch K, Micheli L J, Shamberger R, Hall J E. Scoliosis in children with pectus excavatum and pectus carinatum.  J Pediatr Orthop. 1989;  9 551-556
    PubMedGoogle Scholar
  • 5 Ellis D G. Chest wall deformities in children.  Pediatr Ann. 1989;  18 161-2-164, 165
    PubMedGoogle Scholar
  • 6 Ravitch M M. The operative treatment of pectus excavatum.  Ann Surg. 1949;  129 429-444
    CrossrefPubMedGoogle Scholar
  • 7 Hawkins J A, Ehrenhaft J L, Doty D B. Repair of pectus excavatum by sternal eversion.  Ann Thorac Surg. 1984;  38 368-373
    PubMedGoogle Scholar
  • 8 Marks M W, Argenta L C, Lee D C. Silicone implant correction of pectus excavatum: indications and refinement in technique.  Plast Reconstr Surg. 1984;  74 52-58
    PubMedGoogle Scholar
  • 9 Haller J A Jr, Colombani P M, Humphries C T, Azizkhan R G, Loughlin G M. Chest wall constriction after too extensive and too early operations for pectus excavatum.  Ann Thorac Surg. 1996;  61 1618-1624, discussion 1625
    CrossrefPubMedGoogle Scholar
  • 10 Chuang J H, Wan Y L. Evaluation of pectus excavatum with repeated CT scans.  Pediatr Radiol. 1995;  25 654-656
    PubMedGoogle Scholar
  • 11 Pretorius E S, Haller J A, Fishman E K. Spiral CT with 3D reconstruction in children requiring reoperation for failure of chest wall growth after pectus excavatum surgery. Preliminary observations.  Clin Imaging. 1998;  22 108-116
    CrossrefPubMedGoogle Scholar
  • 12 Arnold M. The surgical anatomy of sternal blood supply.  J Thorac Cardiovasc Surg. 1972;  64 596-610
    PubMedGoogle Scholar
  • 13 Taguchi T K, Mochizuki T, Nakagaki M, Kato K. A new plastic operation for pectus excavatum: sternal turnover surgical procedure with preserved internal mammary vessels.  Chest. 1975;  67 606-608
    CrossrefPubMedGoogle Scholar
  • 14 Wooler G H, Mashhour Y A, Garcia J B, Holden M P, Ionescu M I. Pectus excavatum.  Thorax. 1969;  24 557-562
    PubMedGoogle Scholar
  • 15 Johnson P E. Refining silicone implant correction of pectus excavatum through computed tomography.  Plast Reconstr Surg. 1996;  97 445-449
    PubMedGoogle Scholar

1 Presented at the 3rd Joint Meeting of the German, the Austrian and the Swiss Societies for Thoracic and Cardiovascular Surgery, February 9 - 12, 2000 Lucerne

PD Dr. med. Johannes Albes

Herz-, Thorax- und Gefäßchirurgie Klinikum der Friedrich-Schiller-Universität Jena

Bachstraße 18

07747 Jena

Germany

Phone: +493641934801

Fax: +493641934802

Email: johannes.albes@med.uni-jena.de

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