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A Dr. Nicholas F. Fiore, MD, Pediatric Surgery, answered on behalf of Sunrise Hospital & Medical Center. The best age for pectus excavatum surgery is between 10 and 12 years old, says Nicholas Fiore, MD, a pediatric surgeon at Sunrise Hospital. Dr. Lyall Gorenstein, MD, Thoracic Surgery (Cardiothoracic Vascular), answered on behalf of Columbia University Department of Surgery. The ideal age for surgical treatment of pectus excavatum is between 12-18 years of age.
The cause of pectus excavatum is not known however it can run in families, with up to 25 percent of affected patients reporting chest wall abnormalities in other family members. Pectus excavatum occurs in approximately 1 out of 400â1000 children and is three to five times more common in males than females.he majority of the patients with pectus excavatum are candidates for the Nuss procedure. However, the decision for the patient to undergo a Ravitch or Nuss procedure will depend on the degree of the pectus deformity, the age of the patient, and ultimately will be determined by the surgeon.