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Pectus excavatum - severe

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

Young male with anterior chest wall deformity

Patient Data

Age: 25 years
Gender: Male
ct

The CT of the chest revealed an anterior chest wall deformity with inward depression of the sternum. Haller index measured 13 which is compatible with a severe form of pectus excavatum. 

Case Discussion

Haller index is a ratio of the transverse diameter of the chest, divided by the sagittal measure of the distance from the sternum to the vertebral body. A Haller index between 2 and 3.2 is considered a mild deformity; between 3.2 and 3.5 is moderate; 3.5 or greater is a severe deformity. 

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