{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:28:32Z","timestamp":1761514112425,"version":"3.44.0"},"reference-count":33,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,2,1]],"date-time":"2018-02-01T00:00:00Z","timestamp":1517443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2018,2]]},"DOI":"10.1016\/j.athoracsur.2017.08.051","type":"journal-article","created":{"date-parts":[[2017,12,2]],"date-time":"2017-12-02T00:18:59Z","timestamp":1512173939000},"page":"371-378","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Revision of Failed Prior Nuss in Adult Patients With Pectus Excavatum"],"prefix":"10.1016","volume":"105","author":[{"given":"Awais","family":"Ashfaq","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Staci","family":"Beamer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MennatAllah M.","family":"Ewais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Lackey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dawn","family":"Jaroszewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2017.08.051_bib1","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jtcvs.2016.09.045","article-title":"Physiologic implications of pectus excavatum","volume":"153","author":"Jaroszewski","year":"2017","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib2","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1016\/j.jamcollsurg.2013.06.019","article-title":"Multicenter study of pectus excavatum, final report: Complications, static\/exercise pulmonary function, and anatomic outcomes","volume":"217","author":"Kelly","year":"2013","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib3","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1097\/MOP.0b013e32834881c4","article-title":"Indications and guidelines for pectus excavatum repair","volume":"23","author":"Frantz","year":"2011","journal-title":"Curr Opin Pediatr"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib4","first-page":"106","article-title":"Pectus excavatum: A review of diagnosis and current treatment options","volume":"117","author":"Abid","year":"2017","journal-title":"J\u00a0Am Osteopath Assoc"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib5","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1097\/SLA.0b013e3181effdce","article-title":"Twenty-one years of experience with minimally invasive repair of pectus excavatum by the Nuss procedure in 1215 patients","volume":"252","author":"Kelly","year":"2010","journal-title":"Ann Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib6","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.athoracsur.2016.03.105","article-title":"Success of minimally invasive pectus excavatum procedures (modified nuss) in adult patients (>\/=30 years)","volume":"102","author":"Jaroszewski","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1749-8090-9-25","article-title":"Systematic review of surgical treatment techniques for adult and pediatric patients with pectus excavatum","volume":"9","author":"Johnson","year":"2014","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib8","first-page":"98","article-title":"Minimally invasive repair of pectus excavatum (mirpe) in adults: Is it a proper choice?","volume":"11","author":"Ersen","year":"2016","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib9","doi-asserted-by":"crossref","first-page":"409","DOI":"10.21037\/acs.2016.08.06","article-title":"Ravitch versus nuss procedure for pectus excavatum: Systematic review and meta-analysis","volume":"5","author":"Kanagaratnam","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib10","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1007\/s00268-010-0465-9","article-title":"A\u00a0modified Nuss procedure for late adolescent and adult pectus excavatum","volume":"34","author":"Yoon","year":"2010","journal-title":"World J Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib11","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s00268-005-0779-1","article-title":"Nuss procedure: Pediatric surgical solution for adults with pectus excavatum","volume":"31","author":"Aronson","year":"2007","journal-title":"World J Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib12","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.athoracsur.2005.03.070","article-title":"Analysis of the nuss procedure for pectus excavatum in different age groups","volume":"80","author":"Kim","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib13","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.jtcvs.2006.04.038","article-title":"Minimally invasive correction of pectus excavatum in adult patients","volume":"132","author":"Schalamon","year":"2006","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib14","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.athoracsur.2008.04.078","article-title":"Routine use of minimally invasive surgery for pectus excavatum in adults","volume":"86","author":"Pilegaard","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib15","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S1072-7515(02)01245-0","article-title":"Force required to elevate the sternum of pectus excavatum patients","volume":"195","author":"Fonkalsrud","year":"2002","journal-title":"J\u00a0Am Coll Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib16","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1016\/j.athoracsur.2009.06.008","article-title":"Surgery for recurrent pectus deformities","volume":"88","author":"Luu","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib17","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1016\/j.jpedsurg.2011.03.048","article-title":"One hundred patients with recurrent pectus excavatum repaired via the minimally invasive nuss technique: Effective in most regardless of initial operative approach","volume":"46","author":"Redlinger","year":"2011","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib18","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jpedsurg.2004.09.038","article-title":"The minimally invasive nuss technique for recurrent or failed pectus excavatum repair in 50 patients","volume":"40","author":"Croitoru","year":"2005","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib19","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1093\/ejcts\/ezs282","article-title":"Early results of 18 adults, following a modified nuss operation for recurrent pectus excavatum","volume":"43","author":"Liu","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib20","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jpedsurg.2009.10.036","article-title":"Retrospective review of reoperative pectus excavatum repairs","volume":"45","author":"Antonoff","year":"2010","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib21","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.jpedsurg.2007.09.022","article-title":"Mechanism of bar displacement and corresponding bar fixation techniques in minimally invasive repair of pectus excavatum","volume":"43","author":"Park","year":"2008","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib22","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1177\/000313480206801210","article-title":"Repair of recurrent pectus deformities","volume":"68","author":"De Ugarte","year":"2002","journal-title":"Am Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib23","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/icvts\/ivt150","article-title":"Modified Nuss procedure in the treatment of recurrent pectus excavatum after open repair","volume":"17","author":"Guo","year":"2013","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib24","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1016\/S0022-3468(97)90299-2","article-title":"The 're-do' chest wall deformity correction","volume":"32","author":"Ellis","year":"1997","journal-title":"J\u00a0Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib25","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S1055-8586(02)00018-5","article-title":"Recurrent chest wall anomalies","volume":"12","author":"Colombani","year":"2003","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib26","doi-asserted-by":"crossref","first-page":"1936","DOI":"10.1016\/j.athoracsur.2015.02.078","article-title":"Hybrid technique for repair of recurrent pectus excavatum after failed open repair","volume":"99","author":"Johnson","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib27","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1016\/j.jtcvs.2013.09.049","article-title":"Sternal elevation before passing bars: A technique for improving visualization and facilitating minimally invasive pectus excavatum repair in adult patients","volume":"147","author":"Jaroszewski","year":"2014","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib28","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1055\/s-2002-34485","article-title":"Review and discussion of the complications of minimally invasive pectus excavatum repair","volume":"12","author":"Nuss","year":"2002","journal-title":"Eur J Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib29","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1093\/ejcts\/ezu394","article-title":"Right ventricular outflow tract obstruction caused by a displaced pectus bar 30 months following the Nuss procedure","volume":"47","author":"Maagaard","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib30","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.athoracsur.2010.07.041","article-title":"Life-threatening aortic hemorrhage during pectus bar removal","volume":"91","author":"Jemielity","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib31","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.athoracsur.2013.11.037","article-title":"Is a shorter bar an effective solution to avoid bar dislocation in a Nuss procedure?","volume":"97","author":"Ghionzoli","year":"2014","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib32","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1093\/ejcts\/ezs442","article-title":"The Nuss procedure made safer: An effective and simple sternal elevation manoeuvre","volume":"42","author":"Tedde","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2017.08.051_bib33","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jtcvs.2009.09.003","article-title":"Minimally invasive repair of pectus excavatum: A novel morphology-tailored, patient-specific approach","volume":"139","author":"Park","year":"2010","journal-title":"J\u00a0Thorac Cardiovasc Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517312018?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517312018?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:51:33Z","timestamp":1757735493000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497517312018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["S0003497517312018"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.08.051","relation":{},"ISSN":["0003-4975"],"issn-type":[{"type":"print","value":"0003-4975"}],"subject":[],"published":{"date-parts":[[2018,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Revision of Failed Prior Nuss in Adult Patients With Pectus Excavatum","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.08.051","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}