Pectus Arcuatum Definitions, Diagnostics, and Surgical Guidelines

What are the standardized definitions, diagnostics, and surgical guidelines for pectus arcuatum?In this systematic review including 65 studies, preoperative computed tomography/magnetic resonance imaging and echocardiography were recommended to assess cardiopulmonary function and screen for congenital heart disease. Symptomatic patients should be considered for surgery, with expected improvement.Results suggest that surgical correction relied on wedge osteotomy, with titanium plating and bar placement being key for stabilization and lower cartilage remodeling. Hybrid techniques continue to evolve, aiming to balance invasiveness and efficacy.

Corresponding Author: Dawn E. Jaroszewski, MD, MBA, Department of Cardiovascular and Thoracic Surgery, Mayo Clinic Arizona, 5881 E Mayo Boulevard, Phoenix, AZ 85054 (jaroszewski.dawn@mayo.edu).

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