A Case of Pectus Excavatum (PE) With Respiratory Failure After Surgery for Congenital Cystic Adenomatoid Malformation (CCAM)

Abstract

There is no consensus in the literature as to whether surgical repair improves pulmonary function in pectus excavatum (PE). Surgical repair is usually performed for cosmetic improvement in most cases with PE. PE after a right lower lobectomy for congenital cystic adenomatoid malformation (CCAM) is a rare late complication. Here, we report on a 5-year-old girl presenting with PE, who had received a right lower lobectomy for CCAM 6 days after birth and developed PE. The depression of the chest progressively worsened with asthma and decreased compliance of the thorax. We performed a Ravitch procedure for PE at 5 years of age, and her pulmonary function and asthmatoid symptoms improved after surgery. Based on this experience, we conclude that the Ravitch procedure is useful in terms of pulmonary function for patients with PE who have undergone lobectomy in the neonatal period.