Postoperative radiographic changes after pectus repair have not previo
usly been described. We reviewed the chest radiographs of 65 children
who underwent surgical repair of pectus excavatum between early 1985 a
nd mid-1992. After operation, 64 children showed atelectasis, 38 had p
leural effusions, 30 showed a congestion or edema pattern, 12 had pneu
mothorax, 21 showed fixation strut tilt or rotation, and 3 had pneumom
ediastinum. Despite the sometimes worrying radiographic appearance, th
ese children uniformly did well clinically.