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The symptoms of Pectus Excavatum may translate into pulmonary difficulties (making it difficult to breathe) and other respiratory symptoms. It may also present as cardiac problems which lead to a lack of adaptation to physical activity. Other typical presentations include an out-of-position spinal column, which in some cases presents as a genuine deviation or scoliosis.

Additionally, a patient with Pectus Excavatum may present psychological effects. This may lead to a tendency towards isolation and loneliness which may become quite serious.

Spontaneous regression or any partial improvement in Pectus Excavatum symptoms are rare.

The deformity is worsened by poor posture, no physical exercise and a lack of strong muscle development (particularly in the back).