Severe pectus excavatum

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

Chest wall deformity.

Patient Data

Age: 20 years
Gender: Male
ct

The lower half of the sternal body is depressed posteriorly with corresponding rib deformity causing displacement of the heart to the left side. The narrowest AP diameter of the chest cage measures about 63 mm and the widest transverse diameter of the chest cage measures about 243 mm.

Otherwise normal appearances.

Annotated image

The narrowest AP diameter of the chest cage measures about 63 mm and the widest transverse diameter of the chest cage measures about 243 mm. Haller index = 3.8.

Case Discussion

Severe pectus excavatum with Haller index of about 3.8 (normal is <2.0).

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