Surgical repair of the pectus excavatum by internal metal strut fixation: a case report and literature review.

We present a white male, aged 19, who was admitted for correction of pectus excavatum. The only abnormal preoperative findings were a mild systolic murmur, audible at the apex of the heart along with right bundle branch block. The patient underwent detachment of the pectoral and the rectus muscles from the rib cage, subperichondrial resection of the lowest four costal cartilages bilaterally, and an Abrams-type bar was used through a vertical mid-sternal incision. A quite sizable seroma was postoperatively formed. The seroma was successfully dealt with daily drainages and with administration of octreotide and etilefrine.