Pectus deformities and their impact on pulmonary physiology

Koumbourlis, Anastassios C.

doi:10.1016/j.prrv.2014.10.009

Cited by 28 publications

(37 citation statements)

References 54 publications

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“…17 Whether the improvement in exercise tolerance that is observed following corrective orthopedic surgery is related to enhanced body image or to quantifiable improvements in RV function remains a matter of significant ongoing controversy. 3,6,[18][19][20] Other RV abnormalities that have been described in patients with PEX include global chamber dilatation or elongation. 12,13 Enlargement of the RV outflow tract, measured in the parasternal long-axis or in the aortic valve short-axis view, has also been described.…”

Section: Right Ventricular Abnormalitiesmentioning

confidence: 99%

Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights

Silbiger

Parikh

2016

Echocardiography

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Patients with pectus excavatum (PEX) may be referred for echocardiographic examination for a variety of complaints including exercise intolerance, dyspnea, palpitations, or chest pain. It is therefore important for the echocardiographer to have an appreciation of the various abnormalities associated with this disorder. Echocardiographic imaging may reveal a number of structural alterations of the right ventricle as well as a reduction in right ventricular systolic function. Interestingly, a number of these abnormalities have also been described in patients with arrhythmogenic right ventricular dysplasia, although patients with PEX do not share a predilection for malignant ventricular arrhythmias. Additional echocardiographic abnormalities associated with PEX include prolapse of the mitral and/or tricuspid valves, Marfan's aortopathy, pericardial effusion, prominence of the crista terminalis, and possibly a number of congenital cardiac anomalies. This review discusses the echocardiographic abnormalities associated with PEX and their pathophysiologic significance. The effects of corrective orthopedic surgery on cardiac function are also discussed.

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Section: Right Ventricular Abnormalitiesmentioning

confidence: 99%

Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights

Silbiger

Parikh

2016

Echocardiography

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“…There are particular concerns for adolescent patients in terms of their body image and self-esteem. Koumbourlis (2015) suggests that patients with pectus carinatum are likely to be affected psychologically as it is difficult to hide a protuberance of the sternum under clothing. Koumbourlis (2015) adds "the poor self-image often leads to social isolation and physical deconditioning that further exacerbates the cardiopulmonary effects of the deformity".…”

Section: Introductionmentioning

confidence: 99%

Professional Clinical Photography to Assist Patients with Pectus Carinatum

Yeats¹

2019

JBC

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A photographic clinical role has been realized in our institution in the care of patients with Pectus Carinatum. A series of clinical photographs along with 3D imaging are now presented by our photographers to each patient in clinic to demonstrate changes over time in the size and shape of their chest wall defects associated with this condition. This interaction has increased patient compliance for treatment and subsequently reinforces the relevance and importance of clinical photographers in patient care.

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“…These include the common chondrogladiolar variant affecting the body of the sternum, the chondromanubrial variant representing mostly manubrial protrusion, the pectus arcuatum variant, also known as the "horns of steer" anomaly, and multiple asymmetric variants that represent costal cartilage protrusion with or without some degree of sternal torsion. 3 Recent reviews continue to describe PC as a rare chest wall anomaly, that represents only 5 to 10% of all chest wall anomalies. 3 This is likely a gross underestimation of the true incidence of PC, as data emerging from chest wall anomaly clinics indicate that PC is at least as common as pectus excavatum.…”

Section: Introductionmentioning

confidence: 99%

“…3 Recent reviews continue to describe PC as a rare chest wall anomaly, that represents only 5 to 10% of all chest wall anomalies. 3 This is likely a gross underestimation of the true incidence of PC, as data emerging from chest wall anomaly clinics indicate that PC is at least as common as pectus excavatum. 4,5 In our large multidisciplinary chest wall anomaly center, we currently see more patients with PC than with pectus excavatum (unpublished data).…”

Section: Introductionmentioning

confidence: 99%

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

Emil

2018

Eur J Pediatr Surg

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Pectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

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Pectus deformities and their impact on pulmonary physiology

Cited by 28 publications

References 54 publications

Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights

Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights

Professional Clinical Photography to Assist Patients with Pectus Carinatum

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

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