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Pectus Carinatum Repair (Modified Ravitch Procedure)

Imaging findings

Pre-operative CT demonstrates a focal and severe protrusion deformity of the sternum, characteristic of pectus carinatum. Post-operative radiographs show a reconstructed, flattened sternum secured with multiple metal osteotomy plates, screws, and a transverse pectus bar across the anterior chest.

Key takeaways

Pectus carinatum is an anterior protrusion chest wall deformity. Surgical correction can be performed using a modified Ravitch procedure, which involves resection of the abnormal costal cartilages, double sternal osteotomies, and stabilization using specialized sternal plates, screws, and a pectus bar.

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