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BackgroundPectus arcuatum, also known as horns of steer anomaly or Currarino-Silverman Syndrome, is a distinct chest wall anomaly characterized by severe manubrio-sternal angulation, a shortened sternum, and mild pectus excavatum. The anomaly is typically repaired with open techniques, employing orthopedic fixation devices. We report the results of a minimally invasive hybrid procedure to repair pectus arcuatum.MethodsThe procedure combines a standard Nuss procedure to correct the depressed sternum with a short upper chest (in boys) or inter-mammary (in girls) incision for bilateral sub-perichondrial resection of the upper costal cartilages, osteotomy, and correction of the manubrial angulation. The medical records of all patients undergoing the procedure over the last 10 years were reviewed.ResultsFive patients, three boys and two girls, ages 14 to 17 years, underwent the procedure. Three patients have had their pectus bars removed 3-4 years after repair. Follow-up after correction ranged from 6 months to 7 years. Good correction resulted in all patients with no complications and no recurrence. To date, all patients have been satisfied with their results.ConclusionsA minimally invasive hybrid procedure adequately corrects pectus arcuatum with minimal scarring and high satisfaction.Level of Evidence4
St‐Louis et al. (Wed,) studied this question.