PMC6370014_01
Lateral chest radiograph (A) and sagittal position chest CT scan (B) suggest severe funnel chest. CT = computed tomography.
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F1
Chest computed tomography (CT) showed asymmetrical PE with a Haller index of 4.4 (Fig. 1).
Surgical incision: (A) infra-axillary thoracotomy; (B) position of the drainage tube; (C and D) the portion of the Nuss bar inside/outside the chest.
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F2
We entered the chest through the 4th intercostal incision, cut and then lifted the pericardium with traction line, and obtained sufficient surgical field exposure (Fig. 2).
According to the orthotopic (A) and lateral (B) positions, the thoracic shape is satisfactory.
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F3
At the current follow-up of 4 months postoperatively, workups have shown satisfactory results for repair of both defects (Fig. 3).