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Preparing for your appointment
By Mayo Clinic staffYou may initially consult your family physician about your child's pectus excavatum. He or she may refer you to a doctor who specializes in orthopedic surgery.
What you can do
You may want to write a list that includes:
- Detailed descriptions of your child's symptoms
- Information about medical problems your child has had in the past
- Information about medical problems common in your family
- All the medications and dietary supplements your child takes
- Questions you want to ask the doctor
What to expect from your doctor
As part of a complete physical exam, your doctor will use a stethoscope to listen carefully to your child's heart and lungs. Other factors to be checked include:
- How deep a breath can your child take?
- Does your child's breastbone dip inward even more during a deep breath?
- Is your child's rib cage unusually rigid?
- Do your child's shoulder blades protrude?
- Does your child routinely tilt his or her head forward?
- Boas SR. Skeletal diseases influencing pulmonary function. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/119560986-3/801968939/1608/977.html#4-u1.0-B978-1-4160-2450-7..50418-7--subchapter1_7989. Accessed Feb. 9, 2009.
- Kelly RE, et al. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: Multicenter study. Pediatrics. 2008;122;1218.
- Pectus excavatum. The American Pediatric Surgical Association. http://www.eapsa.org/parents/resources/pectus_excav.cfm. Accessed Feb. 9, 2009.
- What is Marfan syndrome? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/mar/mar_whatis.html. Accessed Feb. 9, 2009.
- What is scoliosis? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Scoliosis/scoliosis_ff.asp. Accessed Feb. 9, 2009.
- What is mitral valve prolapse? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/mvp/mvp_whatis.html. Accessed Feb. 9, 2009.
- Chest X-ray (chest radiography). American College of Radiology. http://www.radiologyinfo.org/en/info.cfm?PG=chestrad. Accessed Feb. 9, 2009.
- CT: Chest. American College of Radiology. http://www.radiologyinfo.org/en/info.cfm?pg=chestct. Accessed Feb. 9, 2009.
- What is an electrocardiogram? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/ekg/ekg_what.html. Accessed Feb. 9, 2009.
- What is echocardiography? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/echo/echo_whatis.html. Accessed Feb. 9, 2009.
- Malek MH, et al. Cardiovascular function following surgical repair of pectus excavatum: A meta-analysis. Chest. 2006;130:506.
- Johnson JN, et al. Cardiorespiratory function after operation for pectus excavatum. Journal of Pediatrics. 2008;153:359.
