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Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation
Seminars in Pediatric Surgery, 09/08/08

Kelly RE et al. - Indications for surgical treatment include two or more of the following: a severe, symptomatic deformity; progression of deformity; paradoxical respiratory chest wall motion; computer tomography scan with a pectus index greater than 3.25; cardiac compression/displacement and/or pulmonary compression; pulmonary function studies showing restrictive disease; mitral valve prolapse, bundle branch block, or other cardiac pathology secondary to compression of the heart; or failed previous repair.