• Users Online: 284
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 118-119

Pectus carinatum (Pigeon Chest)

1 PG Registrar Internal Medicine, Aster Medcity, Kochi, IN 682027, India
2 Department of Medicine, Glan Clwyd Hospital, Bodelwyddan, Wales, UK

Date of Web Publication20-Nov-2017

Correspondence Address:
Raghav Bhargava
Department of Medicine, Glan Clwyd Hospital, Bodelwyddan, Wales
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpcs.jpcs_37_17

Rights and Permissions

How to cite this article:
Bhargava M, Bhargava R. Pectus carinatum (Pigeon Chest). J Pract Cardiovasc Sci 2017;3:118-9

How to cite this URL:
Bhargava M, Bhargava R. Pectus carinatum (Pigeon Chest). J Pract Cardiovasc Sci [serial online] 2017 [cited 2023 Mar 20];3:118-9. Available from: https://www.j-pcs.org/text.asp?2017/3/2/118/218809

A 16-year-old boy presented with progressive shortness of breath on exertion (New York Heart Association class II) for 1 year. He said that there was no fever, chest pain, cough, palpitations, syncope, or any physical trauma. He had no significant medical history. He also has no significant family medical/surgical history. Inspection of the chest showed marked chest wall deformity[Figure 1] and [Figure 2], remainder of the physical examination was unremarkable. The chest X-ray showed hyperinflated lungs; [Figure 3] anterior protrusion of the sternum and ribs [Figure 4]. His electrocardiogram [Figure 5] showed the right atrial enlargement and biventricular hypertrophy. However, his echocardiogram did not reveal any chamber hypertrophy or valve abnormality, and a normal ejection fraction. This false hypertrophy on the electrocardiogram was due to the chest wall deformity. Pectus carinatum is a deformity of the chest wall characterized by anterior protrusion of the sternum and ribs. Males are more commonly affected than females. Pubertal males are the most common affected patient group, as in this case. Causes are idiopathic, trauma, following open heart surgery, and excessive structural abnormalities of cartilage. It is also associated with several syndromes. There are various orthotic and surgical procedures to correct the deformity. Treatment included referral to thoracic surgeons, who advised routine follow-up and consideration of surgery if the symptoms worsened. On follow-up at 6 months, he is relatively asymptomatic.
Figure 1: Side view.

Click here to view
Figure 2: Frontal view.

Click here to view
Figure 3: PA X-ray.

Click here to view
Figure 4: Lateral X-ray.

Click here to view
Figure 5: ECG.

Click here to view

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]


Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
   Article Figures

 Article Access Statistics
    PDF Downloaded205    
    Comments [Add]    

Recommend this journal