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 Vol. 15 No. 2, February 2006
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AAP Grand Rounds 15:18 (2006)
© 2006 American Academy of Pediatrics

SURGERY

Effect of Pectus Excavatum on Survival

Source: Kelly RE Jr., Lawson ML, Paidas CN, et al. Pectus excavatum in a 112-year autopsy series: anatomic findings and the effect on survival. J Pediatr Surg. 2005;40:1275–1278.[Medline]

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

The purpose of this study was to determine the frequency of pectus excavatum and associated conditions (like recurvatum and funnel chest) in a large autopsy series. These authors retrospectively identified patients with pectus excavatum at autopsy from a single hospital database at Johns Hopkins. Each case was matched with 4 race- and sex-matched patients, 2 autopsied immediately before and 2 immediately after the target patient. The authors reviewed 50,496 autopsy files from 1889 to 2001 in which 62 cases of pectus excavatum were identified, the earliest in 1947.

Eighteen patients died before the age of 1 year, 6 between 1 and 4 years, 0 between 5 and 14 years, 21 between 14 and 65 years, and 17 at or beyond 65 years. Of 21 patients who died between ages 14 and 65 years, 2 had . . . [Full Text of this Article]

Clinton M. Cavett, MD, FAAP
Pediatric Surgery, Carilion Medical Center for Children, Roanoke, VA

 





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