Case Reports
A Minimally Invasive Technique to Repair Pectus Carinatum. Preliminary Report
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
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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Marín, J.E. Alonso" "autores" => array:2 [ 0 => array:3 [ "preGrado" => "Dr." "nombre" => "J.M." "apellidos" => "Marín" ] 1 => array:2 [ "nombre" => "J.E." "apellidos" => "Alonso" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602346?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000006/v1_201305150218/S1579212906602346/v1_201305150218/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>" "titulo" => "A Minimally Invasive Technique to Repair Pectus Carinatum. Preliminary Report" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "349" "paginaFinal" => "351" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "H. Abramson" "autores" => array:1 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "H." "apellidos" => "Abramson" "email" => array:1 [ 0 => "habramson@intramed.net.ar" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital del Tórax Antonio A. Cetrangolo, Vicente López, Provincia de Buenos Aires, República Argentina" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. H. Abramson. Hospital del Tórax Antonio A. Cetrangolo. Italia, 1750. Vicente López. Buenos Aires. 1638 República Argentina" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-06-10" "fechaAceptado" => "2004-09-22" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154095" "palabras" => array:4 [ 0 => "Pectus carinatum" 1 => "Minimally invasive surgery" 2 => "Minimal access" 3 => "Thorax abnormalities" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154096" "palabras" => array:4 [ 0 => "Pectus carinatum" 1 => "Cirugía miniinvasiva" 2 => "Accesos mínimos" 3 => "Anomalías torácicas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">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.</p><p class="elsevierStyleSimplePara elsevierViewall">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.</p><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El presente trabajo trata sobre un nuevo sistema de corrección del <span class="elsevierStyleItalic">pectus carinatum.</span> Aunque menos frecuente que el <span class="elsevierStyleItalic">pectus excavatum</span>, 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.</p><p class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un paciente de 13 años con <span class="elsevierStyleItalic">pectus carinatum</span> 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.</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusión, el método miniinvasivo para el tratamiento del <span class="elsevierStyleItalic">pectus carinatum</span> 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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Unusual sternal deformity with cardiac symptoms-operative correction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "MM Ravitch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Thorac Surg" "fecha" => "1952" "volumen" => "23" "paginaInicial" => "138" "paginaFinal" => "144" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14909306" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1699258X09000229" "estado" => "S300" "issn" => "1699258X" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The operative correction of pectus carinatum (pigeon breast)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "MM Ravitch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "1960" "volumen" => "151" "paginaInicial" => "705" "paginaFinal" => "714" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17859625" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The surgical treatment of chondrosternal prominence (pectus carinatum)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F Roviscek" 1 => "PW Sanger" 2 => "FH Taylor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "1963" "volumen" => "45" "paginaInicial" => "691" "paginaFinal" => "701" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13974379" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical correction of pectus carinatum (pigeon breast)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "KJ Welsh" 1 => "A Vos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1973" "volumen" => "8" "paginaInicial" => "659" "paginaFinal" => "667" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4753002" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preliminary results of orthotic treatment of pectus deformities in children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "SA Haje" 1 => "JR Bowen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Orthop" "fecha" => "1992" "volumen" => "12" "paginaInicial" => "795" "paginaFinal" => "800" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1452753" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento ortopédico de las deformaciones torácicas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J Vidal" 1 => "G Nakach" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Ortesis y prótesis del aparato locomotor. 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