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To the Editor:—
The attitude expressed by Dr. Lester in his letter serves to exemplify the existing controversy on the consequences of pectus excavatum. We are disappointed that in view of Dr. Lester's passion for accuracy, he was not more precise in paraphrasing the editorial. Also, our curiosity was aroused (and piqued) as to the reasons for his completely unsupported claims that the attitude of our article and the editorial were based on "inaccurate" and "irrelevant" studies.The main issue he raises concerns the problem of exercise capacity. We disagree with Dr. Lester that exercise intolerance is "the outstanding feature in funnel chest." Careful questioning of our cases revealed that only 2 of the Group I patients had noteworthy limitation of activity, and in both subjects it could be related to factors beside the thoracic defect. Moreover, Dr. Lester is seemingly unaware of the large cardiac catheterization study by Fabricius
Fink A, Rivan A, Murray JF. Surgical Correction of Funnel Chest-Reply. JAMA. 1962;179(11):915. doi:10.1001/jama.1962.03050110083025
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