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How is pectus excavatum diagnosed?

Pectus excavatum is present at birth, but may not be noticed until later - sometimes only during puberty. It is diagnosed by the appearance of the chest. Further tests can evaluate how each person with pectus excavatum is affected by the condition, if at all. These tests can include lung function tests, scans such as a chest CT and ECG, and exercise testing.

FAQ Frequently asked questions

What is pectus excavatum?

Pectus excavatum is a congenital chest wall deformity also known as 'funnel chest', 'sunken chest' or 'Cobbler's chest'.

What are the symptoms of pectus excavatum?

The primary symptom of pectus excavatum is a sunken area in the middle of the chest. Other signs can include a displaced breastbone (usually to the right), scoliosis, chest pain, and a characteristic slouching posture. In more severe cases, there …

What causes pectus excavatum?

In pectus excavatum, the connective tissue that connects the breastbone (sternum) to the ribs grows too much. As a result, the middle of the chest appears sunken. It is not known exactly why this happens, but a genetic basis is suspected.

Who can develop pectus excavatum?

Pectus excavatum is about four times more common in boys than in girls.

How is pectus excavatum treated?

Many people with pectus excavatum need no treatment. For those who do, there are several methods that can help correct the disorder.

Will pectus excavatum get worse?

In about a third of cases, pectus excavatum will get more pronounced during puberty.

Is pectus excavatum serious?

In many people, pectus excavatum is no barrier to a healthy, normal life. In more severe cases, pectus excavatum can affect a persona's physical condition and psychological self-image.

How common is pectus excavatum?

Pectus excavatum is the most common chest abnormality present at birth, appearing in about one in every 300-500 live births.

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About this article

Author: Jonathan Meddings BMedLabSc (Hons)
First answered: 16 Nov 2014
Last reviewed: 19 May 2018
Rating: 4.1 out of 5
Votes: 507 (Click smiley face below to rate)
Category: Cleft lip and palate

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