Pectus excavatum

Case contributed by Dr Laughlin Dawes

Pectus excavatum (funnel chest).

Case Discussion

Pectus excavatum (funnel chest) is a congenital chest wall deformity characterised by concave depression of the sternum. Compression of the heart causes characteristic findings on frontal CXR of an indistinct right heart border, decreased heart density and displacement of the heart to the left. The anterior ribs have an accentuated downward slope so that the ribs appear heart-shaped. The indistinct right heart border can mimic right middle lobe pathology but a lateral CXR confirms the sternal deformity. Surgical repair is performed in severe cases. Pectus excavatum is usually an isolated anomaly but can be associated with Marfan’s syndrome, Noonan’s syndrome, fetal alcohol syndrome and homocystinuria.

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Case information

rID: 35894
Published: 7th May 2015
Last edited: 6th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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