Abstract
The minimally invasive Nuss procedure has been effectively used for surgical correction of pediatric and adolescent pectus patients. In the past, the use of this less invasive technique was believed to be limited to young patients. This approach with technique modifications has been successfully extended to the treatment of even advanced aged adults. The presentation, evaluation and minimally invasive surgical treatment of adult pectus excavatum patient is reviewed. Adult pectus excavatum patients may present with new onset or worsening of symptoms. Repair of the deformity has been shown to improve cardiopulmonary deficits and quality of life. The increased rigidity of the chest wall in adult patients makes elevating the sternum and supporting the repair with substernal bars more difficult. Technique modification to the original Nuss procedure including the use of forced sternal elevation, multiple support bars and improved bar fixation methods have allowed for successful correction of even advanced age adult pectus excavatum patients. The modified “Nuss” is a safe and effective alternative to open repair of pectus excavatum in adult patients. Repair of the deformity can improve cardiopulmonary function and symptoms.
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