41. Chest -- Theerthakarai Et Al. 119 (6): 1957 The most significant abnormality in this case is a severe pectus excavatum (funnel chest) deformity, with only 2 cm of space between the vertebral bodies and http://www.chestjournal.org/cgi/content/full/119/6/1957

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: Abstract of this Article PDF Version of this Article Email this article to a friend eLetters: Submit a response to this article Similar articles found in: Chest Online ISI Web of Science PubMed PubMed Citation This Article has been cited by: other online articles Search PubMed for articles by: Theerthakarai, R. Khan, M. A. Search for citing articles in: ISI Web of Science (2) Alert me when: new articles cite this article Add to My Personal Article Archive Download to Citation Manager Chest. American College of Chest Physicians Severe Pectus Excavatum Associated With Cor Pulmonale and Chronic Respiratory Acidosis in a Young Woman Ravichandran Theerthakarai, MD Walid El-Halees, MD Seyed Javadpoor, MD and M. Anees Khan, MD, FCCP Abstract TOP Abstract Introduction Case Report Discussion References Pectus excavatum has never been reported to cause hypercapnic respiratory failure. In this report, we describe the first such case in a young woman with severe pectus excavatum who presented with chronic respiratory acidosis, pulmonary hypertension, and chronic cor

42. Community Hospital Of Los Gatos Excavatum, or funnel chest, is a deformity that occurs in approximately 1 in 500 to 1,000 children, and is often referred to as sunken or funnel chest. http://www.communityhospitallg.com/CWSContent/communityhosplosgatos/ourServices/

Home Contact Us Newsletter Sign-up Medical Services Our Services Medical Services Community Programs Online Services Pectus Excavatum What is Pectus Excavatum? Pectus Excavatum , or funnel chest, is a deformity that occurs in approximately 1 in 500 to 1,000 children, and is often referred to as "sunken" or "funnel" chest. In this condition, the lower half of the breastbone, or sternum, and the cartilages become deformed, creating a depression in the chest. The depression can be in the center of the chest, or off to one side. It can be mild or deep. It often is mild or does not exist in very young children, and develops or deepens with growth. The deformity is not purely cosmetic. When moderate or severe it can cause abnormalities of the heart or lungs. It can lead to serious problems with breathing. It can cause difficulty during exercise due to an inability to get enough oxygen into the body. It can cause the individual to tire easily. It can cause asthma, or an increase in infections of the lungs. In approximately 15% of people scoliosis is present. Spontaneous improvement does not occur. Minimally Invasive Procedure The deformity may be surgically corrected with a minimally invasive procedure. Traditional surgery for Pectus Excavatum involves dividing the breastbone and the ribs or connecting cartilages. It can be painful, and may leave a very large scar on the chest. Minimally invasive surgery results in less blood loss compared to the traditional or standard surgery. A minimally invasive procedure has been developed to reduce many of these complications. This procedure involves inserting a small scope into the chest. A metal bar, which has been prebent to the desired corrective position, is then inserted across the chest. No bone or cartilage is cut. Three small

43. Living With A Pectus Deformity Table 1 Reactions of patients 11 years and over with funnel chest (Einsiedel Clausner, 1999). Einsiedel, E., Clausner, A. (1999) funnel chest. http://www.pectus.org/livingwith.htm

UK Pectus Excavatum and Pectus Carinatum Information Site Living with a Pectus Deformity What is Pectus Excavatum/Carinatum? Living with a Pectus Deformity ... Sign our Guestbook Even with severe deformities, the heart and lungs have normal growth and development. However it is documented that pectus deformities affect heart and lung function (Haller and Loughlin, 2000, Fonkalsord and Bustorff-Silva, 1999). In pectus excavatum, it is believed that the heart is displaced to the left side of the chest, and there is a restriction of movement of the heart and lungs. Patients complain of a decrease in stamina and endurance during strenuous exercise (67%), frequent respiratory infections (32%), chest pain (8%) and asthma (7%) (Fonkalsord EW et al, 2000). However recognition of these symptoms remains controversial amongst physicians as the evidence that exists does not reliably and consistently demonstrate physiological limitations. Whilst the physiological effects of pectus deformities remains debatable, the psychological difficulties facing patients are evident and yet there is sparse published information regarding these. Some patients are able to accept and live happily with the shape of their chest; this is an important point as health care professionals frequently assume a person with a physical disfigurement has a negative image of himself (Anderson, 1982). However many patients with pectus deformities are affected with a negative self-image and low self-confidence. 'An unwillingness to be seen without a shirt while swimming and participating in sports or social activities,' is the most frequently quoted complaint. In fact living with a pectus deformity affects all areas of life (Table 1).

44. Nuss Procedure, Cincinnati Children's Hospital Medical Center What is pectus excavatum (sunken or funnel chest)? It is often referred to as sunken or funnel chest and may appear as though someone has punched in the chest. http://www.cincinnatichildrens.org/health/info/surgery/nuss-procedure.htm

Home Contact Us Site Map Go to Advanced Search ... Meckel's Diverticulum Minimally Invasive Repair of Chest Wall Deformities Minimally Invasive Surgery Overview Pyloric Stenosis Spinal Surgery After Care Surgery Minimally Invasive Repair of Chest Wall Deformities (Nuss Procedure) What is pectus excavatum (sunken or funnel chest)? One of every 1,000 children has a chest disorder known as the pectus excavatum. This congenital deformity is characterized by a concavity of the sternum. It is often referred to as sunken or funnel chest and may appear as though someone has punched in the chest. What are the symptoms? The inward-facing sternum can apply pressure to the chest organs, which can cause shortness of breath and restricted growth of heart and lungs. Mildly present at birth, Pectus Excavatum usually becomes more serious through childhood. It can magnify considerably through the teenage growth years. Other problems, which may occur with pectus excavatum include chest pain, floppy heart valve, mitral valve prolapse, rapid heartbeat palpitations, and asthma-like symptoms and respiratory disease. What is the treatment?

45. Pectus Excavatum, Cincinnati Children's Hospital Medical Center Commonly called funnel chest, pectus excavatum is a depression or hollow caused when the sternum (breastbone) is abnormally pushed inward. http://www.cincinnatichildrens.org/health/info/chest/diagnose/pectus-excavatum.h

Home Contact Us Site Map Go to Advanced Search ... Pectus Carinatum Pectus Excavatum Pneumonia, Community Acquired Respiratory Syncytial Virus (RSV) Second Hand Smoke Dangers Signs of Respiratory Distress ... Tests and Procedures Conditions and Diagnoses Pectus Excavatum (A chest wall deformity) What is pectus excavatum? Commonly called "funnel chest," pectus excavatum is a depression or hollow caused when the sternum (breastbone) is abnormally pushed inward. The depression in the chest is due to abnormal growth of the cartilage that attaches the sternum to the ribs. Because of the deep depression, the abdomen often protrudes and gives the appearance of a potbelly in younger children. If both sides of the breastbone are depressed in an equal fashion, the defect will appear symmetrical. However, in many cases, the chest wall appears asymmetric, with the left side of the chest being wider than the right side. In such cases, the sternum is abnormally rotated. Pectus excavatum occurs in 1 in 500 to 1,000 children. It may be minimal, with only slight depression of the chest or it may be quite severe, causing compression of the heart and lungs and altering their functioning. The abnormality increases with age and often worsens during the growth spurts that occur during late childhood and adolescence. It stabilizes after skeletal growth is complete. What causes pectus excavatum?

46. FUNNEL CHEST Definition Home/F/FU/funnel chest. Medical Dictionary Search Engine. Advertise on this site! A service of healthlink-net.com. Browse Dictionary Alphabetically. http://www.books.md/F/dic/funnelchest.php

Home F FU /FUNNEL CHEST Medical Dictionary Search Engine Advertise on this site! A service of health-link-net.com Browse Dictionary Alphabetically A B C D ... Z A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax. Toys and Blankets Miami Rooms New York Hotels Travel Discounts ... Home

47. Flat Chest Kitten (FCK) Defect the veterinary literature. In cats, the two most common are pectus excavatum ( funnel chest ) and flat chest (FCK). There are over http://www.catvet.homestead.com/FCK.html

@import url(/~media/elements/Text/font_styles.css); Home Flat Chest Kitten (FCK) Defect and Pectus Excavatum A number of chest wall deformities have been described in cats and dogs in the veterinary literature. In cats, the two most common are pectus excavatum ("funnel chest") and flat chest (FCK). There are over a dozen reports about pectus excavatum in the literature, including papers describing surgical correction, but very little about FCK. It is important to understand the difference between the two conditions so they can be identified correctly. Cross sectional diagram of a normal chest: The chest cavity is oval in shape, with the spinal column at the top and the sternum at the bottom. The black squares represent the costochondral junctions, the point where the cartilage portion of the rib attached to the sternum joins the boney portion of the rib attached to the spine. Cross sectional diagram of a pectus excavatum chest: In pectus excavatum, the chest cavity is narrower top to bottom as the sterum is displaced upward. In severe cases, the lack of space compresses the heart and lungs. Common signs in moderate to severely affected cats include exercise intolerance, trouble breathing, cough, weight loss or failure to gain weight. Cross sectional diagram of FCK: In FCK, the ribcage is angled sharply at the costochondral junction, causing the ventral part of the chest to be flattened. FCK varies from very mild to very severe and life-threatening. The condition is not apparent at birth, but becomes obvious within the first few weeks of life. Mildly affected kittens may appear perfectly normal as adults. Moderate to severely affected kittens will have difficulty breathing and poor weight gain. The worst affected kittens will die.

48. PECTUS EXCAVATUM & PECTUS CARINATUM Pectus Excavatum (funnel chest). J Thorac Cardiovasc surg 1970, 60 375. Lester CW. The surgical treatment of funnel chest. Ann surg 1946, 123 1003. Lester CW. http://www.pediatriconcall.com/fordoctor/DiseasesandCondition/pectus_excavatum.a

DOCTOR CORNER Search GO Home Back Ask Doctor Post Query Education Teaching Files Question of the day Specialist Answers Latest Updates Conference Journal Search Pharma Updates Search For Pediatricians Hospitals Special Schools Drug Index ... Sign Out UserName Password New Register Dr A.Johari. Consulting Pediatric Orthopedic Consultant at Bombay Hospital , B.J.Wadia Children's Hospital , Children's Orthopedic Centre. Pectus Excavatum ( Funnel Chest) Pectus Carinatum : Generally, surgery should be deferred till maturity. Operative correction involves subperichondrial resection of costal cartilages and sternal osteotomy. Complications are low and recurrences rare. Recurrence is limited to patients who have undergone a unilateral resection of costal cartilages or an inadequate resection of the deformity. References: Asp K, Sulamaa M. On rare congenital deformities of thoracic wall. Acta chir Scand 1959, 118: 392. Beiser GD. Epstein SE, Stampfer M. Impairment of cardiac function in patients with pectus exacavatum with improvement after operative correction. N Engl J Med 1972, 287: 267.

49. SEARCH Nathaniel underwent a breakthrough procedure to correct pectus excavatum or funnel chest syndrome. . Pectus excavatum, or funnel http://www.memorialcare.org/apps/news/prArchive/2003_0805_genChest.cfm

SEARCH: MemorialCare Our Hospitals Medical Services Find a Doctor About MemorialCare ... Job Opportunities Press Room Senior Insurance Plan Online Gift Shop Newborn Photos Research Centers ... Patient Privacy Notice Surgeon Performs Remarkable Minimally Invasive Repair of Genetic Chest Disorder on 10-year Old Boy New Hope for Children with Rare Chest Deformity Young Patient Undergoes Remarkable Surgery Procedure to Repair Medical and Physical Effects of Genetic Chest Disorder and Deformity Long Beach Memorial/Miller Children's Hospital thoracic surgeon Daniel Bethencourt, MD is pictured with patient Nathaniel Bigot and his family. Nathaniel underwent a breakthrough procedure to correct pectus excavatum or "funnel chest syndrome." The ideal age for correction of pectus excavatum is between 8-12 years old. The genetic deformity can cause moderate to very severe defects, where the heart is displaced to the left of the sternum or midline and places undue pressure on the lung artery or pulmonary artery which carries blood from the heart to the lungs. As a child progresses in age, the symptoms: easy fatigability and decreased stamina and endurance; become apparent especially during competitive athletics. Interview Opportunities: Surgeon Daniel Bethencourt, M.D. is available for interviews.

50. Free Online ICD9/ICD9CM Codes And Medical Dictionary funnel chest Pectus Excavatum Chest, Funnel Chests, Funnel Excavatum, Pectus funnel chests A developmental anomaly in which the lower sternum is http://icd9.chrisendres.com/index.php?action=dictdtl&recordid=4922

51. ? TheTreatment of Congenital funnel chest in Childrer With Orthopedic Frame Suspender. We thind it is a good methods to treat congenital funnel chest in childten. http://www.medicinecn.net/kangtai/eindex.htm

52. HONselect - Musculoskeletal Abnormalities Craniofacial Abnormalities, Limb Deformities, Congenital. Synostosis, Arthrogryposis. funnel chest, Gastroschisis. Hip Dislocation, Congenital, KlippelFeil Syndrome. http://www.hon.ch/HONselect/Selection/C05.660.html

All Web sites HONcode sites HONselect News ... Images HONselect Search English French German Spanish Portuguese the word the part of word in MeSH term in MeSH term and description Contents on "Musculoskeletal Abnormalities": MeSH hierarchy and definition Research Articles Web resources Medical Images Medical News Medical Conferences Clinical Trials MeSH Hierarchy English French German Spanish Portuguese MeSH Broader term(s) Diseases Neonatal Diseases and Abnormalities Abnormalities Diseases Musculoskeletal Diseases Musculoskeletal Abnormalities MeSH definition Congenital structural abnormalities and deformities of the musculoskeletal system. Subheadings : complications / diagnosis / embryology / epidemiology / etiology / metabolism / microbiology / surgery / therapy MeSH Narrow term(s) Craniofacial Abnormalities Limb Deformities, Congenital Synostosis Arthrogryposis Funnel Chest Gastroschisis Hip Dislocation, Congenital Klippel-Feil Syndrome Accepted term(s) -Abnormalities, Musculoskeletal -Abnormality, Musculoskeletal -Musculoskeletal Abnormality Browse New search MEDLINE 's articles for " Musculoskeletal Abnormalities English French German Spanish Portuguese All categories Selection by study category Refinement by recall or precision All recent articles Therapy Diagnosis Etiology Prognosis Therapy by recall Diagnosis by recall Etiology by recall Prognosis by recall Therapy by precision Diagnosis by precision Etiology by precision Prognosis by precision Browse New search Web resources for " Musculoskeletal Abnormalities English French info: enter the site: (click below)

53. Encyclopedia Fn-Fz (Search FastHealth.com) Encyclopedia Fn-Fz Fungal Infections Fungal keratitis Fungal nail infection Fungal scalp infection Fungal skin infection Fungi Fungicide Fungus ball funnel chest funnel chest http://www.fasthealth.com/encyclopedia/encyclopedia_Fn-Fz.php

Email This! A-Am An-Az B-Bm ... Z Fn-Fz Focal and segmental hyalinosis Focal glomerulosclerosis Focal neurological deficits Focal sclerosis with hyalinosis ... Dead Links

54. ¡Û ¾È³çÇϼ¼¿ä! Funnel Chest ¿À¸ñ°¡½¿ÀÔ´Ï´Ù. ¡Û The summary for this Korean page contains characters that cannot be correctly displayed in this language/character set. http://www.funnel.co.kr/

55. Pectus Excavatum: FAQ On Surgery, Exercises & MVP Phono and echocardiographic studies of the genesis of mitral valve prolapse in patients with funnel chest. In 44 patients with funnel chest, 20 (45%) had http://www.ctds.info/pectus_excavatum_faq.html

Con nective Tissue Disorder Home Search Site Map ... Links Pectus Excavatum Frequently Asked Questions What can you tell me about surgery for pectus excavatum? I have PE and I get weird pains and palpitations in my chest and heart Are there exercises to correct pectus excavatum? Should everyone with PE have an echocardiogram? Read my Continued at Pectus Excavatum FAQ - Part II The book I own with the most information on pectus excavatum, enlarged foreheads and other signs of rickets is Let's Have Healthy Children by Adelle Davis. Miss Davis was a nutritionist who wrote at length in this book on the signs of rickets in children and how these signs of rickets were often ignored by doctors. Question : What can you tell me about surgery for pectus excavatum Answer One point to note is that if I had to do my pectus excavatum surgery over again, I would only go to a surgeon who specialized in pectus excavatum repair. I had my operation when I was 17 and didn't know how to evaluate and compare surgeons, so I just went to a a thoracic surgeon referred to me by my family doctor. The surgeon I went to did not specialize in pectus excavatum, and I realize now he probably had not done very many of these types of surgeries and was not aware of the latest techniques.

56. Specialised UMD Dictionaries Translate this page foveated chest ( = funnel chest), ÕóÏúÑñ äóÞíÑöíø ( = ÕóÏúÑñ ÞöãúÚöíø) º, funnel chest, ÕóÏúÑñ ÞöãúÚöíø º, http://www.emro.who.int/umd/browsingsubj.asp?PageNo=13&subj=212&cat=3

57. Respiratory & Pulmonology Scenes And Procedures-2 Library Image at top shows location of tip of bronchoscope., funnel chest Illustration of chest contours of child. Top anterior view of http://www.smartdraw.com/libraries/content/library/medical___anatomy/nursing/pro

Search What is this? This symbol library is part of the SmartDraw Click here to learn more, or to download the entire Collection. How can I get this library? SmartDraw users: Click here to download this symbol library (490 Kb) RUN the download file to install it into your SmartDraw program. Help Try SmartDraw Free If you don't own SmartDraw yet... Click here to download a free trial copy These are thumbnail previews. Actual images are high-quality vector art. Keywords: Home Downloads Buy Products ... Enterprise

58. Funnel - MiMi Alternate Names Chest Deformity Repair, funnel chest Repair Pictures Images Pectus Excavatum Pectus excavatum is a condition in which the breast bone http://en.mimi.hu/disease/funnel.html

Home Menu(0); MimiF3("Disease",0); pozicio('Disease','Funnel') MimiF1("Disease",0); Funnel CreateTd(0) Alternate Names : Chest Deformity Repair, Funnel Chest Repair Pectus Excavatum Pectus excavatum is a condition in which the " breast bone" ( sternum ) appears sunken and the chest concave. It is sometimes called " funnel chest". callurl('http://health.allrefer.com/health/pectus-excavatum-repair-pectus-excavatum.html'); CreateTd(1) Funnel Chest: ( pectus excavatum Funnel chest is a depression or hollow caused when the breast bone, the bone in the middle of the ribcage, is pushed abnormally inward. It is either congenital (present at birth ) or it develops within months of birth callurl('http://web1.tch.harvard.edu/cfapps/A2ZtopicDisplay.cfm?Topic=Chest%20Wall%20Deformity'); CreateTd(2) There is a condition of the front of the chest known as" funnel chest", that is characterized by the breast -bone being sunken in. This structural abnormality can be severe enough to interfere with normal breathing and heart function, but is usually of no health consequence. callurl('http://www.kidsdoctor.com/cgi-bin/display.cgi?/articles/F_Pigeon_Breast.html');

59. Funnel Chest - A Medical Reference Article funnel chest. A Medical Article Maryland Medical Center. A resource with information on over 10,000 medical topics including funnel chest. http://www.mcadd.net/dwp/002872.htm

Funnel chest A Medical Article provided by University of Maryland Medical Center A resource with information on over 10,000 medical topics including: Funnel chest Previous Next

60. Funnel Chest Repair - A Medical Reference Article funnel chest repair. A Medical Medical Center. A resource with information on over 10,000 medical topics including funnel chest repair. http://www.mcadd.net/dwp/002873.htm

Funnel chest repair A Medical Article provided by University of Maryland Medical Center A resource with information on over 10,000 medical topics including: Funnel chest repair Previous Next

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