Pectus Carinatum

About the condition
Pectus carinatum is a deformity of the chest in which the breastbone protrudes outwards. The bulging gives the chest a birdlike appearance which is why the condition is sometimes referred to as pigeon chest. It occurs when the cartilage that holds the ribs to the breastbone has a defect, and the cartilage pushes the breastbone and ribs outwards causing the chest to jut outwards. It is unknown what causes this chest deformity, but is believed to be genetic in nature.
Each case of pectus carinatum is unique as the deformity may cause mild, moderate or severe symptoms. For those who have more severe pectus carinatum, the physical deformity can cause have serious effects on a child’s self-confidence. In these cases, surgery may be needed to correct the deformity. Dr Schewitz will be able to tell you whether surgical repair may or may not be needed.
Signs & Symptoms
While the condition is categorised by the protrusion of the breastbone forwards, pectus carinatum is often only developed during early adolescence when the growth spurt hits. It is then that the symptoms worsen and the physical deformity begins to show.
The symptoms should begin to show in the early teen years, only getting worse and worse as the child grows. Since these symptoms are caused by the protrusion of the breast bone, it may require surgery to treat. Treatment of pectus carinatum is possible at a very early age with an external brace. If surgery is required, the best time would be at the time of the adolescent growth spurt.



With Dr Ivan Schewitz’s extensive experience in the treatment of children and adults with pectus carinatum, he is compassionate in explaining the conditions to his patients, taking the time to answer any of their questions and advising the best surgical treatment options for their unique case.
As a highly specialised cardiothoracic surgeon with extensive experience in pectus deformity correction, Dr Schewitz may advise external bracing, the Reverse-Nuss (otherwise known as Abraham procedure) or Ravitch procedure for correction of pectus carinatum.
Treatments
Treatment methods include:


