Pectus excavatum and cardiac dysfunction: a case report with pre- and post-operative haemodynamic studies.
نویسندگان
چکیده
A 48-year-old man with severe pectus excavatum presented with incapacitating supraventricular tachycardia, paroxysmal in nature and invariably provoked by exercise. During mild supine leg exercise on a bicycle ergometer an abnormal increase in right heart pressures, particularly in the right atrium, was observed, followed immediately by supraventricular tachycardia. The latter was also shown during upright exercise on a treadmill. Operative correction of the deformity led to complete relief from the dysrhythmia and a normal haemodynamic response on exercise. The pre- and post-operative studies lend support to the conclusion that the sternal depression was the most likely cause of the cardiac abnormality.
منابع مشابه
Aortic and mitral valve surgery through a superior ministernotomy in pectus excavatum associated with Marfan's syndrome.
The combination of chest wall abnormalities such as pectus excavatum and cardiac disease requiring operative correction represents a clinical challenge to the surgeon. We report two cases of patients with Marfan's syndrome and severe pectus excavatum in whom cardiac operations were successfully performed using a superior 'T inverted' ministernotomy. This approach allowed safe isolation of the t...
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متن کاملA case of right ventricular dysfunction caused by pectus excavatum.
Pectus excavatum compresses the underlying right side of the heart, which might lead to right ventricular dysfunction as illustrated in this case report.
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ورودعنوان ژورنال:
- Thorax
دوره 34 1 شماره
صفحات -
تاریخ انتشار 1979