{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:27:13Z","timestamp":1783592833421,"version":"3.55.0"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1641213","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T05:43:29Z","timestamp":1758692609000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Minimally invasive surgical correction technique of Pectus Arcuatum, case report of an innovative method for a rare chest wall malformation (Jerusalem technique)"],"prefix":"10.3389","volume":"12","author":[{"given":"Daniella","family":"Moshe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Salhab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mordechai","family":"Shimonov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firas","family":"Abu Akar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1053\/j.semtcvs.2009.03.001","article-title":"Anatomical, histologic, and genetic characteristics of congenital chest wall deformities","volume":"21","author":"Fokin","year":"2009","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"B2","volume-title":"Patolog\u00edas de la Pared Tor\u00e1cica en Pediatr\u00eda","author":"Acastello","year":"2006"},{"key":"B3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.5772\/25950","article-title":"Chest wall deformities: an overview on classification and surgical options","volume-title":"Topics in Thoracic Surgery","author":"Torre","year":"2012"},{"key":"B4","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/S0096-5588(20)31203-4","article-title":"Unusual sternal deformity with cardiac symptoms operative correction","volume":"23","author":"Ravitch","year":"1952","journal-title":"J Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2968","DOI":"10.21037\/jtd-20-3472","article-title":"Currarino-Silverman syndrome: diagnosis and treatment of rare chest wall deformity, a case series","volume":"13","author":"Gritsiuta","year":"2021","journal-title":"J Thorac Dis"},{"key":"B6","doi-asserted-by":"publisher","first-page":"55","DOI":"10.21037\/jovs.2016.02.28","article-title":"Surgical correction of Pectus Arcuatum","volume":"2","author":"Kuzmichev","year":"2016","journal-title":"J Vis Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"214","DOI":"10.5090\/kjtcs.2016.49.3.214","article-title":"A case of successful surgical repair for Pectus Arcuatum using chondrosternoplasty","volume":"49","author":"Kim","year":"2016","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"878","DOI":"10.5606\/tgkdc.dergisi.2014.7940","article-title":"A new surgical approach for mixed-type pectus carinatum: the Onen procedure","volume":"22","author":"\u00d6nen","year":"2014","journal-title":"Turk J Thorac Cardiovasc Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"100030","DOI":"10.1016\/j.yjpso.2023.100030","article-title":"Pectus Arcuatum: description of a hybrid surgical technique","volume":"3","author":"Gonz\u00e1lez-Barba","year":"2023","journal-title":"J Pediatr Surg Open"},{"key":"B10","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1177\/0218492315627943","article-title":"A new technique for mixed-type pectus carinatum: modified onen method","volume":"24","author":"Akkas","year":"2016","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"B11","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1053\/j.sempedsurg.2008.03.003","article-title":"Minimally invasive surgical repair of pectus excavatum","volume":"17","author":"Nuss","year":"2008","journal-title":"Semin Pediatr Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1016\/s1579-2129(06)60235-8","article-title":"A minimally invasive technique to repair pectus carinatum. Preliminary report.","volume":"41","author":"Abramson","year":"2005","journal-title":"Arch Bronconeumol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/j.xjtc.2024.09.015","article-title":"Surgical treatment and outcomes of Pectus Arcuatum","volume":"28","author":"Zeineddine","year":"2024","journal-title":"JTCVS Tech"},{"key":"B14","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.bjps.2024.04.043","article-title":"A minimally invasive hybrid procedure to correct Pectus Arcuatum","volume":"93","author":"St-Louis","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1641213\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T05:43:30Z","timestamp":1758692610000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1641213\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,24]]},"references-count":14,"alternative-id":["10.3389\/fsurg.2025.1641213"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1641213","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,24]]},"article-number":"1641213"}}