Pectus excavatum is a condition which presents the chest to have a sunken or "caved in" appearance. It is the most common chest wall abnormality in children.  It can present at any age but is most often noted in after the age 8-10 with rapid progression of the defect associated with accelerated growth periods.  The depression displaces the heart and can decrease the overall lung volume.  Those effected may have exercise intolerance or other cardiopulmonary issues.

There are several methods used to repair the defect and choosing the right one is important.  It is a big undertaking for the child and family so multiple preoperative consultations are recommended.