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J Thorac Cardiovasc Surg 2009;138:1436-1437
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Extrapleural Nuss procedure for chest wall deformity complicating thoracotomy and pulmonary resection

^a Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
^b Division of Thoracic Surgery, Department of Traumatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

Received for publication July 18, 2008; revisions received September 4, 2008; accepted for publication September 14, 2008.

^_* Address for reprints: Yung-Chie Lee, MD, PhD, Division of Thoracic Surgery, Department of Surgery and Traumatology, National Taiwan University Hospital, 7, Chung-Shan S Rd, Taipei 100, Taiwan. (Email: ipohdamu@gmail.com).

The first 20% of the full text of this article appears below.

	Introduction

 
Since the introduction of the thoracoscopic Nuss operation for correction of pectus excavatum (PE) in 1998, an increasing number of patients are presenting for operations because of concerns about the appearance of the chest wall and a sensation of shortness of breath with physical activity.¹ The new minimally invasive procedure avoids the long anterior chest incision and requires neither sternal osteotomy nor excision of rib cartilage. However, its role in redo repairs or in patients with severe intrathoracic adhesions is uncertain.² Therefore we presented a further modification of the Nuss operation for PE after thoracotomy.

	Clinical Summary

 
A 19-year-old woman had a history of right middle and right lower lobe resection for multiple infected bronchogenic cysts with Haemophilus influenzae infection 5 years before. After lobectomy, exertional dyspnea and progressive asymmetric chest wall deformity, hypoplasia of the right chest wall, were noted. Pulmonary function test results revealed a severe . . . [Full Text of this Article]