Cardiovascular magnetic resonance in patients with pectus excavatum compared with normal controls

Saleh, Roya; Finn, J. Paul; Fenchel, Michael; Moghadam, Abbas Nasirae; Krishnam, Mayil S.; Abrazado, Marlon; Ton, Anthony; Habibi, Reza; Fonkalsrud, Eric W.; Cooper, Christopher B.

doi:10.1186/1532-429x-12-73

Cited by 56 publications

(55 citation statements)

References 24 publications

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“…Lyons et al [24] reported the pattern of the RV pressure in [25] found significant improvement in RV end-diastolic volume and EF-Rt and also increments in LV end-diastolic volume index and SV index after pectus surgery. Saleh et al [26] found that both EF-Lft and EF-Rt were lower and RV end-systolic volume was significantly higher in PE patients.…”

Section: Discussionmentioning

confidence: 98%

Echocardiographic findings among children with pectus excavatum

Metin¹,

Özkan²,

Serin³

et al. 2016

ejcm

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Objective: Pectus excavatum (PE) is characterized by the posterior displacement of inferior sternum and adjacent cartilages and is the most common congenital chest wall deformity. We aimed to investigate right and left ventricular functions and its correlation with pectus severity index in children.Methods: Echocardiography was performed in 32 children with PE and 40 healthy controls. The following parameters were monitored: Left and right ventricular (LV, RV) ejection fraction (EF), ejection time (ET), stroke volume (SV), shortening fraction (SF), mitral and tricuspid early (E) and late (A) ventricular filling velocities and deceleration time (DT), median pulmonary arterial pressure (PAPm), aorta and pulmonary acceleration time (Ao-AT, PA-AT), RV work index (RVWI), isovolumetric myocardial acceleration (IVMA), and LV pulmonary ejection period (PEPLV). To assess the severity of pectus, Haller Index (HI) was calculated by thorax computed tomography. Results:There was no significant difference regarding averages of the body surface area (BSA) between the groups.The arithmetic averages of the EF-Left, ET-Left, ET-Right, SV-Left, TV-DT, PA-AT, and PEPLV were higher in children with PE than in controls, but SF-Left, SF-Right, MV-A, and IVMA were found to be lower. Haller Index (HI) value in children with PE was 2. 00-4.93(2.62±0.56). We failed to demonstrate any statistically significant relationship between the cardiac data of children with PE and HI. Conclusion:Despite the fact that most children had only a mild or moderate form of PE, the RV and LV functions were affected. Keywords:

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Section: Discussionmentioning

confidence: 98%

Echocardiographic findings among children with pectus excavatum

Metin¹,

Özkan²,

Serin³

et al. 2016

ejcm

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“…Pektus ekskavatumlu hastalarda yapılan bir çalışmada 18 hasta kardiyak anomaliler açısından ekokardiyografi ve kardiyak magnetik rezonans görüntüleme ile değerlendirilmiş. Ekokardiyografi ile 6 hastada (% 33), kardiyak magnetik rezonans görüntüleme ile 10 hastada (% 56) hemodinamik açıdan anlamsız perikardiyal efüzyon saptanmış [10] . Nuss ameliyatı geçiren 862 hastanın değerlendirildiği bir çalışmada ameliyat sonrası yerleştirilen torasik bara bağlı metal allerjisi (özellikle nikel) nedeniyle perikardit veya plevral efüzyon gelişebileceği bildirilmiş [11] .…”

Section: Discussionunclassified

“…Fakat ekokardiyografik görüntülerin klinik tablo ile birlikte değerlendirilmesi ile çok daha doğru sonuç-lara varılabilir. Pektus ekskavatum hastalarında sağ atriyal ve ventriküler kompresyon, sternumun sağ ventrikül ön duvarına basması neticesinde kalbin sola kayması görülebileceği, kompresyonun miktarının ve kardiyak anatominin göğüsün şekline göre değişiklik gösterebileceği bildirilmiştir [10] . Kardiyak morfolojide değişikliğe neden olabilecek patolojilere sahip hastalarda ekokardiyografik kararlar verilirken daha dikkatli olunması gerektiğini olgumuz bir kez daha göstermiştir.…”

Section: Discussionunclassified

Intraoperative Transesophageal Echocardiography In Differential Diagnosis of Cardiac Injury

Kararmaz¹,

Kavas²,

Arslantaş³

2014

GKDA Derg

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ÖZET Nuss ameliyatı ile intratorasik yerleştirilen barın çekil- GİrİşPektus ekskavatum göğüs duvarının en sık rastlanan anomalisi olup sternum ve kıkırdak kostaların değişik derecelerde depresyonu ile karakterizedir. Tedavisinde Nuss ameliyatı ile metal bar göğüs kemiğini itecek şekilde yerleştirilir. 2-4 yılın sonunda bar çıkartılır. Genel anestezi altında yapılan ameliyatta pnömoto-raks, kanama, kardiyak ve pulmoner yaralanma gibi komplikasyonlar görülebilmektedir [1] . Kontrol edilemeyen kanamalarda sternotomi gerekebilir. Bu olgu sunumunda Nuss ameliyatı sonrası bar çekilmesi sırasında abondan kanaması ve kardiyak yaralanma şüphesi olan bir hastada transözofageal ekokardiyografi (TÖE) ile kardiyak yaralanmanın nasıl değerlen-dirildiğinin irdelenmesi ve nonkardiyak cerrahide TÖE monitorizasyonunun öneminin vurgulanması amaçlandı. OlGU sUnUmUPektus ekskavatum tanısıyla 2011 yılında takılan barın çıkarılması planlanan 25 yaşında 89 kg erkek hasta ameliyathaneye alınarak monitorize edilip sol kol antekübital venden 20 G branül ile damar yolu Alındığı tarih: 25.02.2014

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“…Saleh et al contribute a useful paper to the cardiology literature by studying 30 patients with pectus excavatum and determining the effects of the distorted anatomy on cardiac structure and function[18]. No significant differences between pectus excavatum patients and controls were found in LV ejection fraction, LV myocardial shortening, pulmonary-systemic circulation time or pulmonary flow indices.…”

Section: Ventricular Volumes Function and Massmentioning

confidence: 99%

Review of journal of cardiovascular magnetic resonance 2010

Pennell

Firmin

Kilner

et al. 2011

Journal of Cardiovascular Magnetic Resonance

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There were 75 articles published in the Journal of Cardiovascular Magnetic Resonance (JCMR) in 2010, which is a 34% increase in the number of articles since 2009. The quality of the submissions continues to increase, and the editors were delighted with the recent announcement of the JCMR Impact Factor of 4.33 which showed a 90% increase since last year. Our acceptance rate is approximately 30%, but has been falling as the number of articles being submitted has been increasing. In accordance with Open-Access publishing, the JCMR articles go on-line as they are accepted with no collating of the articles into sections or special thematic issues. Last year for the first time, the Editors summarized the papers for the readership into broad areas of interest or theme, which we felt would be useful to practitioners of cardiovascular magnetic resonance (CMR) so that you could review areas of interest from the previous year in a single article in relation to each other and other recent JCMR articles [1]. This experiment proved very popular with a very high rate of downloading, and therefore we intend to continue this review annually. The papers are presented in themes and comparison is drawn with previously published JCMR papers to identify the continuity of thought and publication in the journal. We hope that you find the open-access system increases wider reading and citation of your papers, and that you will continue to send your quality manuscripts to JCMR for publication.

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Cardiovascular magnetic resonance in patients with pectus excavatum compared with normal controls

Cited by 56 publications

References 24 publications

Echocardiographic findings among children with pectus excavatum

Echocardiographic findings among children with pectus excavatum

Intraoperative Transesophageal Echocardiography In Differential Diagnosis of Cardiac Injury

Review of journal of cardiovascular magnetic resonance 2010

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