Special issue on pectus surgery diagnosis in chest wall deformities

Kolvekar, Shyam; Simon, Natalie; Kolvekar, Trupti

doi:10.21037/jovs.2016.04.09

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Physical examination is an important part of the initial diagnosis of a chest-wall abnormality [ 23 ]. When LVAD therapy is being considered, a full thorough physical examination should be performed to provide a clear overview of the patient’s physical state and body shape, even if the patient is a tertiary referral.…”

Section: Discussionmentioning

confidence: 99%

Pectus Excavatum and Risk of Right Ventricular Failure in Left Ventricular Assist Device Patients

Zijderhand,

Yalcin,

Sjatskig

et al. 2023

Rev. Cardiovasc. Med.

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Background: Right ventricular failure (RVF) is a significant cause of morbidity and mortality in patients with a left ventricular assist device (LVAD). This study is aimed to investigate the influence of a pectus excavatum on early and late outcomes, specifically RVF, following LVAD implantation. Methods: A retrospective study was performed, that included patients with a HeartMate 3 LVAD at our tertiary referral center. The Haller index (HI) was calculated using computed tomography (CT) scan to evaluate the chest-wall dimensions. Results: In total, 80 patients (median age 57 years) were included. Two cohorts were identified: 28 patients (35%) with a normal chest wall (HI 2.0) and 52 patients (65%) with pectus excavatum (HI 2.0–3.2), with a mean follow-up time of 28 months. Early ( 30 days) RVF and early acute kidney injury events did not differ between cohorts. Overall survival did not differ between cohorts with a hazard ratio (HR) of 0.47 (95% confidence interval (CI): 0.19–1.19, p = 0.113). Late ( 30 days) recurrent readmission for RVF occurred more often in patients with pectus excavatum ( p = 0.008). The onset of late RVF started around 18 months after implantation and increased thereafter in the overall study cohort. Conclusions: Pectus excavatum is observed frequently in patients with a LVAD implantation. These patients have an increased rate of readmissions and late RVF. Further investigation is required to explore the extent and severity of chest-wall abnormalities on the risk of RVF.

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Section: Discussionmentioning

confidence: 99%

Pectus Excavatum and Risk of Right Ventricular Failure in Left Ventricular Assist Device Patients

Zijderhand,

Yalcin,

Sjatskig

et al. 2023

Rev. Cardiovasc. Med.

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Congenital Thoracic Deformities

2019

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Single-centre Indian case series using X or cross bar for Nuss procedure in pectus excavatum

Darlong

2020

Indian J Thorac Cardiovasc Surg

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The modified Nuss procedure using two bars lying parallel or non-intersecting is use to correct pectus excavatum with varying degrees of patient satisfaction. This bar placement has its limitation for certain pectus excavatum morphology where the deformity is deep and focal or located below the subxiphoid. We have altered our bar placement so that bars intersects in an X or cross manner for such pectus morphology. We describe the X or cross bar placement and its specific indications based on morphology in a series of five patients from February 2019 until December 2019 with symmetrical focal deformity along the xiphisternum and asymmetric deformity below the xiphoid. The operating time varied from 90 to 120 min. There was no significant postoperative morbidity. They are on follow-up with period ranging from 4 to 15 months from the day of surgery. Early results show the X or cross bar Nuss procedure can be safely performed to achieve a desired long-term morphological correction of symmetric deep focal xiphisternal defects or asymmetric deformity below the xiphoid. Keywords X bar . Cross bar . Nuss procedure . Pectus excavatum * Laleng Mawia Darlong

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Special issue on pectus surgery diagnosis in chest wall deformities

Cited by 4 publications

References 6 publications

Pectus Excavatum and Risk of Right Ventricular Failure in Left Ventricular Assist Device Patients

Pectus Excavatum and Risk of Right Ventricular Failure in Left Ventricular Assist Device Patients

Congenital Thoracic Deformities

Single-centre Indian case series using X or cross bar for Nuss procedure in pectus excavatum

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