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Drs. Mikael Petrosyan and Timothy Kane discuss the most common chest wall asymmetry in children, Pectus Excavatum. They discuss the incidence, the work up as well as the treatment, pectus excavatum surgery (Nuss procedure) Pectus excavatum: Definition: Depression of the anterior chest wall Epidemiology: Most common congenital chest wall deformity Most appear by 1 year of age Male:female 5:1 95% patients Caucasian Etiology: Unknown Clinical presentation Spontaneous resolution uncommon Many conflicting studies regarding physiologic impact of pectus excavatum, however depressed sternum may depress right heart depending on severity Increased stroke volume and exercise tolerance is documented post-op Most consistently associated with poor body image and depression Clinical evaluation: CT or MRI of chest Echocardiogram and EKG Allergy Testing Indications for surgery: Compression abnormalities Cardiac or pulmonary compression with Haller index over 3.25 Cardiac abnormalities Cardiac compression Mitral valve prolapse Conduction abnormalities Exercise intolerance, lack of endurance, shortness of breath on exertion Recurrence following previous corrective surgery Surgery: Minimally Invasive Nuss Procedure Bar Should Stay 2-3 years for consultations email: [email protected] #surgucation #pediatricsurgery #childrensnational #pectusexcavatum Disclaimer The information about health provided by SURGUCATION is not intended to diagnose, treat, cure, or prevent disease. Products, services, information, and other content provided by the Service, including information linking to third-party websites are provided for informational purposes only. The information offered by SURGUCATION is not comprehensive and does not cover all diseases, ailments, physical conditions, or their treatment. Individuals are different and may react differently to different products. Comments made on the Service by employees or other users are strictly their own personal views made in their own personal capacity and are not claims made by the Company nor do they represent the position or view of the Company. SURGUCATION is not liable for any information provided by the Service with regard to recommendations regarding supplements for any health purposes. SURGUCATION makes no guarantee or warranty with respect to any products or services sold. SURGUCATION is not responsible for any damages for information or services provided. SURGUCATION can offer health, fitness, and nutritional information including, without limitation, advice, and recommendation, that is provided solely as general education and informational purposes. Use of the advice and information contained herein is at your sole choice and risk. You should not rely on this information as a substitute, nor does it replace professional medical advice, diagnosis, or treatment. Always consult your physician or healthcare provider before beginning any nutrition or exercise program. If You choose to use this information without the prior consent of your physician, you are agreeing to accept full responsibility for your decisions and agreeing to hold harmless SURGUCATION SURGUCATION may contain links to external websites that are not provided or maintained by or in any way affiliated with the SURGUCATION. Any information provided here is based on the professional opinion of physicians, nurses, and medical personnel All information provided in the videos is meant to be used as an educational tool and not actual treatment. Please check with your personal doctor in addition to using the app and before making medical decisions.