I4 Minimally Invasive Repair of a Pectus Excavatum
2013
Minimally invasive repair of pectus excavatum is indicated for patients with a severe pectus excavatum deformity and associated physiologic impairment. Specific inclusion criteria include two or more of the following:
Computed tomography (CT) index greater than 3.25, with associated cardiac or pulmonary compression
Pulmonary function tests (PFTs) demonstrating restrictive and/or obstructive impairment
Cardiology evaluation demonstrating cardiac compression, displacement, mitral valve prolapse, murmurs or conduction abnormalities
Documentation of progression of the deformity with advancing age, in association with development or worsening of physiologic symptoms (i.e. shortness of breath, lack of endurance, exercise intolerance, palpitations or chest pain)
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