Combined surgical and ablative cure for localized sternal compression–induced cardiomyopathy and ventricular tachyarrhythmia

DeSimone, Christopher V.; Sagar, Sandeep; Moir, Chris; Asirvatham, Samuel J.

doi:10.1016/j.jtcvs.2012.03.033

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…Previous studies demonstrated preoperative arrhythmia showed marked improvement after surgical repair of pectus excavatum [6,7]. In addition, difficult surgical and catheter ablation were demonstrated in several reports [8,9].…”

Section: Discussionmentioning

confidence: 98%

Embarrassed Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Pectus Excavatum

Lee¹,

Ban²

2022

Ewha Med J

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A 16-year-old patient with pectus excavatum visited our hospital because of palpitation. He underwent first Nuss operations at the age of 3. When he was 13 years old, the slow-fast type atrioventricular nodal reentrant tachycardia was documented during electrophysiology study. However, the catheter ablation was not conducted because of recurrent atrial fibrillation during procedure. At that time, second Nuss operation was performed due to progressive chest wall deformity. And then, atrioventricular nodal reentrant tachycardia was successfully treated by radiofrequency catheter ablation at the higher position than usual slow pathway zone under the modified fluoroscopic view with the cranial angle although distorted right atrial geometry and radiographic obstacle of Nuss operation bar. The concern about abnormal cardiac and electrical anatomy, and the accurate and modified procedure technique are essential in patients with pectus excavatum. (Ewha Med J 2022;45(3):e6)

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Section: Discussionmentioning

confidence: 98%

Embarrassed Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Pectus Excavatum

Lee¹,

Ban²

2022

Ewha Med J

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“…More recently, DeSimone et al . reported a case of pectus excavatum associated with both non‐sustained and sustained monomorphic VT . The patient underwent catheter ablation, followed by surgical correction of the pectus excavatum.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, DeSimone et al reported a case of pectus excavatum associated with both non-sustained and sustained monomorphic VT. 7 The patient underwent catheter ablation, followed by surgical correction of the pectus excavatum. Despite apparently successful catheter ablation, the authors argued that the right ventricular compression could be a persistent source of arrhythmogenesis and hence the patient underwent surgery to correct the skeletal deformity.…”

Section: Figure 1 (A) Resting Electrocardiogram Showed An Rsr Pattermentioning

confidence: 99%

Pectus Excavatum: Uncommon Electrical Abnormalities Caused by Extrinsic Right Ventricular Compression

Hak

Lim

Liew

et al. 2014

Cardiovasc electrophysiol

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We report a case of pectus excavatum associated with ventricular tachycardia provoked by exercise in a 19-year-old man. Although this chest deformity has been associated with supraventricular dysrhythmias, documented ventricular tachycardia has only been reported once. Our patient's ventricular dysrhythmia was treated by surgical correction of his pectus excavatum only, and at 3 years follow-up he has had no recurrence of his ventricular tachycardia.

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“…A variety of treatment modalities for symptomatic ventricular arrhythmias in patients with PE have been described by other case reports. 5,[11][12][13] Hamoud et al 11 cause of SCA due to a lack of available data. Therefore, it was reasonable to proceed with ICD placement post-surgical repair as secondary prevention of SCA in our patient.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Sudden Cardiac Arrest in a Young Patient With Severe Pectus Excavatum

Rachwan¹,

Purpura

Kahwash³

2018

The American Journal of the Medical Sciences

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We report a case of sudden cardiac arrest in the setting of ventricular fibrillation in a previously healthy 19-year-old male. Chest imaging demonstrated severe pectus excavatum with Pectus Severity Index of 22.7. Extensive workup was unrevealing for other cardiopulmonary etiologies, including conduction and structural abnormalities. The patient was scheduled for a Ravitch procedure and was discharged on a wearable defibrillator vest for temporary protection against ventricular arrhythmias. Later, the patient underwent subcutaneous implantable cardioverter defibrillator placement. Sudden cardiac arrest as an initial presentation of pectus excavatum is a rare entity scarcely discussed in medical literature. In this patient-centered focused review, we explore this unique case and offer our management approach amid the lack of concrete guidelines.

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Combined surgical and ablative cure for localized sternal compression–induced cardiomyopathy and ventricular tachyarrhythmia

Abstract: FIGURE 1. A, Preprocedure electrocardiogram showing monomorphic nonsustained ventricular tachyarrhythmia with superior axis left bundle branch block morphology. B, Postprocedure electrocardiogram showing sinus rhythm and no ventricular arrhythmia.

Cited by 5 publications

References 4 publications

Embarrassed Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Pectus Excavatum

Embarrassed Radiofrequency Catheter Ablation of Supraventricular Tachycardia in Pectus Excavatum

Pectus Excavatum: Uncommon Electrical Abnormalities Caused by Extrinsic Right Ventricular Compression

Sudden Cardiac Arrest in a Young Patient With Severe Pectus Excavatum

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