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CASE REPORT article

Front. Surg.

Sec. Pediatric Surgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1641213

Minimally Invasive Surgical Correction Technique of Pectus Arcuatum, Case Report of An Innovative Method for a Rare Chest Wall Malformation (Jerusalem

Provisionally accepted
daniella  moshedaniella moshe1Firas  Abu AkarFiras Abu Akar1,2*Mordechai  ShimonovMordechai Shimonov1,2Anas  SalhabAnas Salhab1,2
  • 1Wolfson Medical Center, Holon, Israel
  • 2Tel Aviv University Faculty of Medical and Health Sciences, Tel Aviv-Yafo, Israel

The final, formatted version of the article will be published soon.

Pectus Arcuatum (PA) is a rare anterior chest wall deformity characterized by a deformation with potential psychological impact on patients and combining features of both pectus carinatum and pectus excavatum. Traditional corrective methods involve open surgical techniques, such as sternotomy, which often result in significant surgical scars. This case report presents two patients who underwent successful minimally invasive correction of PA using a modified sandwich method, referred to as the Jerusalem Technique. The innovative approach involved bilateral thoracoscopic-guided osteotomies and placement of one or more support bars, all performed through lateral incisions without midline exposure. Both patients demonstrated excellent cosmetic and functional outcomes, minimal postoperative pain, and no complications. As many patients seek surgery for cosmetic concerns, there is a growing interest in minimally invasive approaches, this technique offers an effective alternative to traditional open surgery, representing fully minimally invasive surgical correction for PA.

Keywords: Pectus arcuatum, chest wall malformation, minimally invasive surgery, case report, Thoracic and cardiovascular surgery

Received: 04 Jun 2025; Accepted: 05 Aug 2025.

Copyright: © 2025 moshe, Abu Akar, Shimonov and Salhab. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Firas Abu Akar, Wolfson Medical Center, Holon, Israel

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