Can adults get the Nuss Procedure?

By | January 17, 2015

Although the ideal time to have the Nuss Procedure in the surgical treatment of Pectus Excavatum is in the teenage years, adults are also eligible for the procedure.

Here are some examples of doctors who have done the procedure on adults and published the results:

  • The Pediatric Surgical Center of Amsterdam had a 47 year old patient (Aronson et al., 2006)
  • The UCLA School of Medicine had a 53 year old patient (Fonkalsrud et al., 2002)
  • A separate UCLA School of Medicine study included a 67 year old patient (Jaroszewski et al., 2007)
  • The National Defense Medical Center in Taiwan had a 42 year old patient (Cheng et al., 2008)
  • The Royal Brompton Hospital in London had a 37 year old patient (Krasopoulous et al., 2006)

Considerations for adult patients

  • Recovery time is sometimes longer (Kim et al., 2005).
  • Some authors have suggested there is a slightly higher incidence of complication (Kim et al., 2005).
  • “Uncorrected pectus deformities persist after childhood and often cause worsening symptoms with increasing age” (Jaroszewski et al., 2007).
  • “The Nuss procedure is as effective for correcting pectus excavatum in adults as it is in children. However, in adults the bars tended to be less stable, and wound abscesses occurred more frequently” (Aronson et al., 2006).