Modern Treatment for Pectus Excavatum (Funnel Chest)

Specialist Center at Wiener Privatklinik – Directed by Univ.-Prof. Dr. Dr. h.c. Alexander Rokitansky

Our center provides specialized diagnostics and modern therapies for patients with pectus excavatum, individually tailored and supported by an interdisciplinary team.

When Is Surgery Recommended?

Most patients undergo surgery around the age of 15. In rare severe cases, intervention may be required as early as age 6. Generally, surgical correction is possible up to around age 50 – depending on biological age and chest wall flexibility. As patients age, calcified cartilage and asymmetries can increase surgical complexity.

Is a Cosmetic Procedure Enough?

No. Aesthetic procedures such as breast augmentation may improve external appearance but do not address the underlying pressure on the heart and lungs. If desired, cosmetic enhancement can be performed after the chest wall has been corrected.

Conservative Treatment with Vacuum Bell & Y-Pressure Cup®

Conservative therapy is particularly effective for younger patients. Options include:
– Classic vacuum bell to lift the sternum
– Specialized Y-Pressure Cup® for prominent costal arches

Daily application (~2 hours) is especially effective when started from age 10 and may help avoid or prepare for future surgery.

Minimally Invasive Surgery – The Rokitansky Method

When surgery is required, we use a minimally invasive approach with small incisions. A custom-made, single-piece metal implant (PSI®) with an integrated stabilizing tab® is securely anchored in the chest wall.

Advantages of this method:
– No metal abrasion – no contact between moving parts
– No external stabilizers – reduced risk of displacement
– No nerve damage – cryoablation not required
– Implant removal after approximately 4 years

Additional steps for stiff chest walls:
– Costal arch correction
– Cartilage scoring for mobilization
– Release of fibrous tissue in the mediastinum

Recovery & Physical Activity

Physical rest is recommended during the first 2 months after surgery. After medical clearance, most physical activities can be resumed.

Recommended exercises include:
– Swimming
– Climbing and hiking
– Gymnastics and stretching
– Paddling and upper-body training

Our Pectus Excavatum Center at Wiener Privatklinik

Under the leadership of Prof. Rokitansky, we provide comprehensive, personalized care for patients of all ages. From vacuum therapy to state-of-the-art implant surgery – our team offers medical excellence and compassionate support.