Minimally Invasive Pectus Excavatum Repair (MIRPE)

Abstract

Pectus excavatum (PE) involves the inward deformity of the sternum and accompanying cartilage attachments. Compression of the right heart and lungs can cause cardiopulmonary disability. Surgical correction is recommended for severe, symptomatic cases. Pectus excavatum can be corrected with a minimally invasive technique that involves placing temporary intrathoracic support bars under the sternum. These bars are then removed after 2-3 years. The minimally invasive Nuss procedure is the standard of care for PE repair in children and adolescents. Minimally invasive repair in more difficult patient repairs, including older teenagers and adults, has required modifications of the original Nuss technique. Our technique for pectus excavatum repair can be used for successful repair of PE patient of all ages and is described to follow.