PMC5820059_01
Patient prior to surgical intervention. Patient is an 8-year-old girl; image shows lateral and anteroposterior image at the time of the first outpatient clinic visit. An asymmetrical severe pectus excavatum is observed.
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Her chest revealed a deep, asymmetric PE deformity ( Fig. 1 ). 
Patient's chest imaging prior to surgical correction. Chest computed tomography showing the sternum depression is below anterior vertebral column line (red line).
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 As part of the assessment protocol, a computed tomography (CT) scan was ordered (see Fig. 2 ).
Postoperative results X-ray. (
A
) Anteroposterior (AP) chest X-ray after Nuss procedure. (
B
) Lateral chest X-ray after Nuss procedure. (c) AP chest X-ray after Nuss bar removal 2 years after placement.
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Postoperative bar removal imaging showed an acceptable correction of the deformity (see Figs. 3 and 4 ).
Postoperative image of patient. (
A
) Postoperative oblique/lateral view of patient's chest. (
B
) Postoperative anteroposterior view of patient's chest. A complete correction of the anterior chest wall deformity can be observed.
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Postoperative bar removal imaging showed an acceptable correction of the deformity (see Figs. 3 and 4 ).