Pectus Up surgery for Pectus Excavatum tends to be indicated under the following situations:
- Symptomatic patients
- Haller Index equal to or greater than 3.25
- Clear progression in the chest deformity with symptoms associated with Pectus Excavatum
- Paradoxical or reverse breathing
- Diminished pulmonary function with a pattern of restrictive or obstructive pulmonary disease
- Cardiac anomalies (cardiac displacement or compression, mitral prolapse, reduced ejection volume in the left ventricle, arrhythmia).
- Chest or lumbar pain, connected to relevant bone deformities acquired as side effects of Pectus Excavatum
- Disturbance to body image
- Relevant psychological condition
- Failure of previous surgical procedures.
Typically, four or more of these situations are present in the patient.
Surgically repairing Pectus Excavatum is also recommended in symptomatic cases, with the optimum age starting from 8 years old.
The treatment should be undertaken as soon as possible to avoid possible complications derived from the condition itself (scoliosis, etc.) and the psychological complications that may arise.
Given how easy the technique is, Pectus Up is also appropriate for adult patients.