Chest Wall Disease: Pectus Excavatum

Krista N. Adamovich-Rippe, William T Culp

Research output: Chapter in Book/Report/Conference proceedingChapter


Pectus excavatum is an uncommon congenital anomaly of the chest wall, characterized by the dorsal deviation of the caudal sternum and associated costal cartilages or a dorsoventral flattening of the entire thorax.The defect has been reported in several domestic species including dogs and cats. Clinical signs attributable to pectus excavatum are highly variable and often correlated to the severity of the deformity. An objective assessment of the severity of the pectus excavatum deformity can be made by measuring the frontosagittal index (FSI) and the vertebral index (VI). Anesthetic management of patients with pectus excavatum should focus on maintaining airway access through intubation. When placing an external splint and circumcostal sutures for treatment of pectus excavatum, care should be taken to ensure that the needle is passed as close to the sternum as possible in order to minimize the risk of intraoperative complications.

Original languageEnglish (US)
Title of host publicationSmall Animal Surgical Emergencies
PublisherWiley Blackwell
Number of pages7
ISBN (Electronic)9781118487181
ISBN (Print)9781118413487
StatePublished - Oct 10 2015


  • Chest wall disease
  • Conservative management
  • Deformity
  • Emergency stabilization
  • Pectus excavatum
  • Small animals
  • Surgical treatment

ASJC Scopus subject areas

  • veterinary(all)


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