Pediatric Surgery – Pectus Excavatum and Pectus Carinatum

Children born with a chest wall deformity need specialized care so they can get back to being kids as quickly as possible.

At Children’s Nebraska, our pediatric surgeons are highly experienced in treating common chest wall deformities like pectus excavatum and pectus carinatum. Pectus excavatum is a congenital condition that develops when the breastbone (sternum) doesn’t form properly — instead appearing sunken and causing a depression in the middle of the chest. Pectus carinatum is a congenital condition that causes the breastbone and ribs to protrude outward.

Although the exact cause of pectus excavatum and pectus carinatum isn’t known, research has found they may have a genetic link or be due to an imbalance in the growth of the sternum and ribs. Most people with these conditions don’t have side effects, but in severe cases, symptoms may include chest pains and shortness of breath.

Our team offers several procedures to repair moderate to severe cases of pectus excavatum and pectus carinatum, including a minimally invasive technique called the Nuss procedure. The Nuss procedure is a type of pectus excavatum surgery that involves implanting one or more stainless steel bars under the sternum in the chest. Over time, the bar corrects the sunken chest wall by lifting up the breastbone. The bar is typically in place for two to three years.

Our Surgeons

What Sets Children’s Apart?

The Pediatric Surgery team at Children’s Nebraska brings roughly 100 years of experience and more than 40 years of training to the operating room. Our team includes some of the only board-certified pediatric surgeons in Nebraska.

Because we focus solely on pediatrics, our surgeons and staff are experts at assessing the unique treatment needs of children and teenagers. We know how to explain procedures at a child-friendly level and help your child — and your entire family — feel comfortable before surgery.

We make sure to cover your child’s non-medical needs, too. Our social workers, chaplains and Child Life specialists ensure that caring for your child’s psychosocial, emotional and spiritual health is part of their overall medical care. They help reduce stress before and after procedures, improving the overall hospital experience.

Carson’s Story: Improved Health, Confidence After Pectus Surgery

In need of surgical repair for a severe chest wall deformity called pectus excavatum, 16-year-old Carson and his family connected with Children’s Nebraska’s Pediatric Surgery team, the largest and most experienced in the region, for a life-changing outcome.
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What to Do Next

For Patients

Learn what you need to know to prepare for surgery.

For Providers

Find a referral form and learn how to refer a patient.