2016
DOI: 10.1111/echo.13269
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Pectus excavatum: echocardiographic, pathophysiologic, and surgical insights

Abstract: 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 abn… Show more

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Cited by 21 publications
(14 citation statements)
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“…Literature has reported that cardiac arrhythmias including first-degree heart block, right bundle branch block, Wolff-Parkinson-White syndrome, ventricular tachycardia, Brugada phenocopies, atrial fibrillation, incomplete left bundle branch block, are life-threatening (5)(6)(7)(8)(9)(10). Also, electrocardiography of patients with PE was differed from patients to patients (11). Most arrhythmias relieved after the correction of the deformity without recurrence during follow-up.…”
Section: Discussion Among Physicians From Local Hospitalsmentioning
confidence: 99%
“…Literature has reported that cardiac arrhythmias including first-degree heart block, right bundle branch block, Wolff-Parkinson-White syndrome, ventricular tachycardia, Brugada phenocopies, atrial fibrillation, incomplete left bundle branch block, are life-threatening (5)(6)(7)(8)(9)(10). Also, electrocardiography of patients with PE was differed from patients to patients (11). Most arrhythmias relieved after the correction of the deformity without recurrence during follow-up.…”
Section: Discussion Among Physicians From Local Hospitalsmentioning
confidence: 99%
“…9 However, there is sustained improvement in cardiopulmonary function, especially during exercise. 9,10 Abnormal electrocardiographic features are quite common in patients with pectus excavatum; the most frequent features are right axis deviation with depression of the ST segment (due to rotation of the heart within the thoracic cavity rather than an intrinsic cardiac deformity). 3,11 In approximately 18% of patients, there is a systolic murmur in the left sternal border, due to compression of the right ventricular outflow tract.…”
Section: Discussionmentioning
confidence: 99%
“…Both stroke volume and cardiac output tend to improve after surgery. 3,10,11 Thus the benefit of surgical correction of the bony defect in pectus excavatum is not merely cosmetic because it improves cardiopulmonary function, especially during exercise. Management of pectus excavatum requires early detection, especially by the primary care physician, and the importance of this deformity should be well understood by the physician as well as the parents.…”
Section: Discussionmentioning
confidence: 99%
“…There are several reports in the literature pointing out the usefulness of two‐dimensional transthoracic echocardiography (2DTTE) in the assessment of right heart compression and dysfunction produced by pectus excavatum chest wall deformity (Figure ). A recent intra‐operative two‐dimensional transesophageal echocardiographic (2DTEE) study showed post pectus repair improvement in the size of the tricuspid valve annulus (TVA) and right ventricular (RV) strain parameters obtained by speckle tracking analysis .…”
Section: Anterior Chest Wall Congenital Deformitiesmentioning
confidence: 99%
“…We also review in tabular form the salient features of this deformity, the current literature dealing with 2D and 3DTTE findings in this deformity and, for comparison purposes, RV, RA, and TVA 2DTTE/3DTTE findings in normal/healthy subjects. The latter include not only available guidelines but also studies published in the literature after the guidelines were formulated (Tables , Figure ) …”
Section: Anterior Chest Wall Congenital Deformitiesmentioning
confidence: 99%