Hadleigh Johnston struggled with breathing difficulties since sixth grade, often finding it impossible to complete tennis lessons or sustain long notes while singing in choir. After years of physical limitations during junior high and high school, a diagnosis at Primary Children’s Hospital provided a path toward recovery.
Diagnosis of pectus excavatum
Dr. Lauren M. Baumann, a pediatric surgeon at Primary Children’s Hospital in Salt Lake City specializing in chest wall deformities, identified the condition as pectus excavatum. Imaging via CT scan revealed a Haller Index of 6.4, which is considered severe as it exceeded the 3.25 threshold.
Details of the Nuss procedure
To treat the condition, Johnston underwent the Nuss procedure on July 29, 2025. Dr. Baumann explained that the procedure involves inserting titanium bars under the sternum and through the chest wall to act as scaffolding that pushes out the chest and remodels the area. These bars remain in place for at least three years to support the chest wall while it heals.
Post-surgery recovery and rehabilitation
Following the surgery, Johnston engaged in diligent rehabilitation exercises with support from her family. Her recovery allowed her to attend high school orientation only two weeks after the procedure and begin her senior year at Juan Diego Catholic High School on August 13.
Success in school activities
During her senior year, Johnston served as student body president and performed as a lead in the school musical. She reported that she could finally support high notes while singing and felt more comfortable performing.
Impact on long-term future
Dr. Baumann noted that while pectus excavatum is more common in males, it often goes undetected in females unless the indentation is significant. Johnston, who plans to major in theater at the University of Utah honors college this fall, expressed that the surgery changed her life and made her feel much more comfortable in her body.
