Pectus Excavatum
What is pectus excavatum?
Pectus excavatum is a condition that affects the breastbone (sternum) and the ribs. It appears as a depression – or indentation – in the middle of the chest and is sometimes described as “sunken” or “funnel” chest. Pectus excavatum is not rare. One in every 1,000 children has some form of the condition, ranging from mild to severe. It is more common in boys than in girls.
What causes pectus excavatum?
The condition is caused by growth of excess connective tissue between the ribs and the breastbone. Research at CHKD has shown that pectus excavatum frequently runs in families, meaning that many cases are likely caused by genetic factors. Individuals with connective tissue disorders such as Marfan syndrome have increased rates of pectus excavatum.
Are children born with pectus excavatum?
The condition can be present at birth, but it doesn’t affect growth or development. As the children grow, the chest depression often becomes more pronounced and may cause symptoms.
What symptoms does it cause?
Mild cases may cause no symptoms, but deeper indentations of the chest wall may press on the heart and lungs, making it difficult for children to exert themselves. Shortness of breath while exercising is the most common symptom. Patients may also experience psychological distress and negative body image.
How is it treated?
In the past, pectus excavatum was often considered “merely” a cosmetic issue.
Nearly 20 years of research and experience caring for patients with the condition has changed that perception. Because the deformity can cause both physical and emotional problems for children, we recommend that all cases be evaluated by a physician according to guidelines we have developed based on our work with thousands of young people with pectus excavatum.
There are several different options for treatment, including the Nuss Procedure. The surgeons at CHKD are world-renowned for their expertise in chest wall deformities and can help you select the best treatment option for your child based on his or her age and specific needs.