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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">The present report deals with a new technique for the correction of pectus carinatum&#46; Although less frequent than pectus excavatum&#44; this deformity leads to numerous consultations&#44; as it is difficult to conceal and affects the personality and behavior of many young patients&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">We report the case of a 13-year-old boy with asymmetrical pectus carinatum&#46; The chest wall was compressible&#44; so the protrusion was corrected by means of intrathoracic compression&#46; In this technique&#44; the sternochondral region is compressed by implanting a metal bar in the presternal region and securing it bilaterally to the posterolateral portion of the costal arches&#46; The strut remains implanted until remolding of the chest contour is achieved&#46; In this case&#44; the strut was removed after 1 year and the new chest contour has been maintained unchanged more than 8 months following surgery&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">In conclusion&#44; this minimally invasive technique for the treatment of pectus carinatum by means of intrathoracic compression appears to be a valid alternative to more invasive techniques and should be considered in appropriate cases&#46;</p>"
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Vol. 41. Issue 6.
Pages 349-351 (June 2005)
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Vol. 41. Issue 6.
Pages 349-351 (June 2005)
Case Reports
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A Minimally Invasive Technique to Repair Pectus Carinatum. Preliminary Report
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H. Abramson
Corresponding author
habramson@intramed.net.ar

Correspondence: Dr. H. Abramson. Hospital del Tórax Antonio A. Cetrangolo. Italia, 1750. Vicente López. Buenos Aires. 1638 República Argentina
Hospital del Tórax Antonio A. Cetrangolo, Vicente López, Provincia de Buenos Aires, República Argentina
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The present report deals with a new technique for the correction of pectus carinatum. Although less frequent than pectus excavatum, this deformity leads to numerous consultations, as it is difficult to conceal and affects the personality and behavior of many young patients.

We report the case of a 13-year-old boy with asymmetrical pectus carinatum. The chest wall was compressible, so the protrusion was corrected by means of intrathoracic compression. In this technique, the sternochondral region is compressed by implanting a metal bar in the presternal region and securing it bilaterally to the posterolateral portion of the costal arches. The strut remains implanted until remolding of the chest contour is achieved. In this case, the strut was removed after 1 year and the new chest contour has been maintained unchanged more than 8 months following surgery.

In conclusion, this minimally invasive technique for the treatment of pectus carinatum by means of intrathoracic compression appears to be a valid alternative to more invasive techniques and should be considered in appropriate cases.

Key words:
Pectus carinatum
Minimally invasive surgery
Minimal access
Thorax abnormalities

El presente trabajo trata sobre un nuevo sistema de corrección del pectus carinatum. Aunque menos frecuente que el pectus excavatum, esta anomalía es causa de numerosas consultas, pues es difícil de disimular y produce afectación de la personalidad y de la conducta en numerosos pacientes jóvenes.

Se presenta el caso de un paciente de 13 años con pectus carinatum asimétrico. La pared torácica era compresible. Se utilizó el denominado sistema de compresión endotorácica, por el cual se corrige la prominencia mediante la compresión de la región esternocondral implantando una placa metálica preesternal fijada bilateralmente a los arcos costales en su porción posterolateral, la cual permanece implantada hasta lograr la osificación de acuerdo con el contorno torácico obtenido y posteriormente se extrae. Se logró un resultado satisfactorio. El dolor postoperatorio fue aceptable. El implante se retiró al año y el nuevo contorno torácico se mantenía sin alteraciones a más de 8 meses de seguimiento.

En conclusión, el método miniinvasivo para el tratamiento del pectus carinatum mediante el sistema de compresión endotorácica parece una alternativa válida a los métodos más invasivos y debe tenerse en cuenta para aplicarlo en los casos adecuados.

Palabras clave:
Pectus carinatum
Cirugía miniinvasiva
Accesos mínimos
Anomalías torácicas
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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