A clinically severe defect can encumber thoracoscopic visualization of vital structures during minimally invasive pectus excavatum repair. We utilized a suction cup device to elevate the sternum in a patient with a severe pectus excavatum.

The patient is an eighteen (18) year old male with severe pectus excavatum that was symptomatic with physical limitations. Computed tomography of the chest demonstrated a Haller Index of sixteen (16), severe cardiac displacement and the posterior sternum abutting the spine. After initial thoracoscopic inspection, the suction cup device was applied prior to dissection to the contralateral chest. Two pectus bars were then placed in standard fashion to ensure a more stable repair.

The suction cup device elevated the sternum from the cardiac structures facilitating visualization and dissection to the contralateral chest with the introducer. There were no intraoperative complications. The intrathoracic space was greatly expanded following placement of the pectus bars. The suction cup device left only a minor bruise to the anterior chest wall.

Utilization of the suction cup device facilitated minimally invasive pectus excavatum repair in a patient with a severe defect by elevating the sternum and allowing for improved visualization during dissection. Use of this device allows for a safer repair in patients with severe pectus defects.