Pectus - Surgical Approaches for Failed Repair
Topic overview
Dr. Rebeccah L. Brown presents a case of a five year old male with Marfan's disease and pectus excavatum. Dr.Dawn Jaroszewski discusses pectus excavatum revision surgery after a previouslyfailed pectus repair. Dr. Jaroszewski covers topics including pectus excavatumreoccurrence rates, revisions of Nuss repairs (minimally invasive), bar rotations or displacements, lateral stripping, issues with a failed Nuss repair and how to improve success, forced sternal elevation, the usage of multiple bars positioned to balance defect, and fiberWire. Dr.Jaroszewski presents two casesof males who underwent a Nuss repairs and are nowexperiencing chronic pain. She discuss severalmore adult repair cases. Dr. Jaroszweski continues to discuss adult repair procedures, forced elevation,hybrid repairs with Nuss support bars and anterior titanium plating,reoccurrence after ravitch or other open pectus excavatum repairs, repairing prior failed open pectus excavatum, forced sternal elevation, malunion, floating sternum, chest wall hernia, andpostoperative pain control regimen.
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