What are the symptoms and treatment options for pectus excavatum?

Symptom Database

Pectus excavatum, also known as sunken chest or funnel chest, is a chest deformity characterized by a concave or depressed appearance of the chest wall. It is a congenital chest condition that affects the shape and structure of the chest cavity. In this article, we will explore the symptoms and treatment options for pectus excavatum, providing valuable insights for those affected by this chest malformation.

Symptoms of Pectus Excavatum

Pectus excavatum can vary in severity, with some individuals experiencing mild chest depression while others have a more pronounced concavity. The symptoms of pectus excavatum may include:

  • Visible depression or concave appearance of the chest
  • Shortness of breath, especially during physical activity
  • Chest pain or discomfort
  • Heart palpitations or irregular heartbeat
  • Fatigue or decreased stamina
  • Poor posture
  • Psychological distress or self-consciousness about the chest appearance

It is important to note that not all individuals with pectus excavatum experience symptoms. Some may have a mild form of the condition that does not significantly impact their daily life or physical abilities.

Treatment Options for Pectus Excavatum

While pectus excavatum cannot be completely cured without surgical intervention, there are treatment options available to manage the symptoms and improve the appearance of the chest. The choice of treatment depends on the severity of the condition and the individual’s specific circumstances.

Observation and Monitoring

In cases where the pectus excavatum is mild and does not cause significant symptoms, observation and monitoring may be recommended. Regular check-ups with a healthcare professional can help track any changes in the condition and ensure that it does not worsen over time.

Physical Therapy and Exercise

Physical therapy and exercise can be beneficial for individuals with pectus excavatum. Specific exercises can help strengthen the muscles surrounding the chest cavity, improve posture, and enhance respiratory function. Physical therapists can provide guidance on appropriate exercises and techniques.

Bracing

In some cases, bracing may be recommended to correct the chest deformity. A brace is a device that applies pressure to the chest wall, gradually reshaping it over time. Bracing is typically more effective in children and adolescents whose bones are still growing and can be molded.

Surgical Intervention

If the pectus excavatum is severe and causing significant symptoms or psychological distress, surgical intervention may be considered. The most common surgical procedure for pectus excavatum is called the Nuss procedure. During this procedure, a curved metal bar is inserted under the sternum to reshape the chest wall. The bar is left in place for a period of time, usually a few years, to allow the chest to stabilize and heal.

Surgery for pectus excavatum is typically performed on adolescents or young adults, as their bones are still growing and can better adapt to the changes. However, adults with severe symptoms may also be candidates for surgical correction.

Conclusion

Pectus excavatum, or sunken chest, is a congenital chest condition characterized by a concave or depressed appearance of the chest wall. While it cannot be completely cured without surgical intervention, there are treatment options available to manage the symptoms and improve the chest’s appearance. From observation and monitoring to physical therapy, bracing, and surgical intervention, individuals with pectus excavatum have various options to consider. Consulting with a healthcare professional is essential to determine the most suitable treatment approach based on the severity of the condition and individual circumstances. Remember, early intervention and treatment can lead to better outcomes and improved quality of life for those affected by pectus excavatum.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA