Modified Ravitch Procedure and Autologous Cartilage Graft for Pectus Arcuatum.

Abstract

Pectus arcuatum presents with sternal angle protrusion and bilateral cartilage deformity. A modified Ravitch procedure is the most common surgical approach. A graft to fill up the osteotomy may be necessary to ensure a stable correction. Studies of the behavior of a cartilage graft transplanted to a human bone defect are scarce. We present a case of autologous rib cartilage graft for sternotomy stabilization during pectus arcuatum repair. Graft viability and new bone formation were proved by computed tomography. Autologous cartilage rib graft is a biocompatible substitute available in the same surgical field with satisfactory results and minimal morbidity.