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KMID : 0364020160490030214
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 3 p.214 ~ p.217
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A Case of Successful Surgical Repair for Pectus Arcuatum Using Chondrosternoplasty
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Kim Sang-Yoon
Park Samina
Kim Eung-Rae
Park In-Kyu
Kim Young-Tae
Kang Chang-Hyun
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Abstract
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Pectus arcuatum is a rare complex chest wall deformity. A 31-year-old female presented with a severely protruding upper sternum combined with a concave lower sternum. We planned a modified Ravitch-type operation. Through vertical mid-sternal incision, chondrectomies were performed from the second to fifth costal cartilages, saving the perichondrium. Horizontal osteotomy was performed in a wedge shape on the most protruding point, and followed by an additional partial osteotomy at the most concaved point. The harvested wedge-shape bone fragments were minced and re-implanted to the latter osteotomy site. The osteotomized sternum was fixed with multiple wirings. With chondrosternoplasty, a complex chest wall deformity can be corrected successfully.
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KEYWORD
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Pectus carinatum, Funnel chest, Thoracic wall, Sternum, Bone transplantation
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