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A 28-year-old male with failed prior Nuss repair (A) photograph shows residual pectus excavatum (PE) deformity with Haller index of 4.6 with protrusion of stabilizer on left side (arrow). (B) Bar malposition is seen on lateral chest roentgenogram (C,D) revision MIRPE with use of Rultract elevation was performed. Single 17 inch Nuss bar was removed and placement of two 14 inch bars performed. MIRPE, minimally invasive repair of pectus excavatum.
