By Shyam Kolvekar, Hans Pilegaard
This e-book discusses predominantly pectus excavatum and pectus carinatum, its edition and the therapy modalities on hand, together with minimally invasive surgical procedure. it will aid to extend knowledge of the on hand treatment plans to medical professionals and healthcare staff yet also will aid trainee cardiac and thoracic surgeons. it's also a vital reference booklet for these already practicing.
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Extra info for Chest Wall Deformities and Corrective Procedures
Jeune Syndrome Jeune syndrome [asphyxiating thoracic dystrophy (ATD)] is a rare autosomal recessive genetic disorder causing skeletal dysplasia [41, 42]. It is characterised by a small, narrow thoracic cage and variable limb shortness [41, 43]. Radiographic findings are specific enough to enable easy distinction from other skeletal dysplasias except the Ellis-van Crevald syndrome [41, 44]. Typical findings include a narrow, bell-shaped thorax with short, horizontal orientation of ribs and irregular costochondral junctions, elevated clavicles, short iliac bones with a typical trident appearance of the acetabula, relatively short and wide long bones of the extremeties and hypoplastic phalanges of both hands and feet with cone-shaped epiphyses [41, 42].
Depending the location of the protrusion PC can be classified into the two following types: N. K. K. K. Kolvekar and N. Panagiotopoulos type and characterize by a prominent sternum mainly in its mid and lower portion. In almost all cases is associated with lower bilateral costal depression. It is more often symmetric (Figs. 3). • Superior PC or chondromanubrium (pouter pigeon or Currarino & Silverman syndrome): It consists of upper protrusion of the sternal notch that is proximal to midsternum and lower pseudo depression.
38. Izquierdo MT, Bahamonde A, Domene J. Prenatal diagnosis of a complete cleft sternum with 3-dimensional sonography. J Ultrasound Med. 2009;28:379–83. 39. Pasoglou V, et al. Sternal cleft: prenatal multimodality imaging. Pediatr Radiol. 2012;42:1014–6. 40. Twomey EL, et al. Prenatal ultrasonography and neonatal imaging of complete cleft sternum: a case report. Ultrasound Obstet Gynecol. 2005;25:599–601. 41. Thakkar PA, Aiyer S, Shah B. Asphyxiating thoracic dystrophy (Jeune syndrome). J Case Rep.