Recurrent Pectus Excavatum Repair via Ravitch Technique With Rib Locking Plates

Chetan Pasrija, MD; Brody Wehman, MD; Devinder P. Singh, MD; Bartley P. Griffith, MD


ePlasty. 2014;14 

In This Article


A 39-year-old patient presented with dyspnea and right ventricular compression secondary to recurrent pectus excavatum (PE). The patient's concavity was surgically relieved. A ladder plate was longitudinally attached and 4 rib-locking reconstruction plates were placed. At 6 months postoperation, the patient was ambulating without dyspnea and imaging showed relief of the right ventricular compression.

Figure 1.

(a and b) Preoperation computed tomography showing concavity. (c) Postoperative at 5 days, showing relief of RV pinch. (d) At 4 months, there continues to be relief of RV pinch. There is also remodeling of heart, allowing for greater left lung capacity. RV indicates right ventricle.

Figure 2.

Postoperative posteroanterior chest roentgenogram. Notice the artificial rib technology at the lateral edge of the ribs and midline at the sternum. Also, the ladder plate providing sternal stability for the transverse sternotomy.

Figure 3.

Preoperative (a) and postoperative (b) roentgenograms, showing change in concavity with the ladder plate and artificial ribs in place. Preoperative (c) and postoperative (d) patient images showing cosmetic and structural improvement.