Cardiopulmonary Function in Thoracic Wall Deformities: What Do We Really Know?

Dawn E. Jaroszewski; Cristine S. Velazco; Venkata Siva Krishna Kumar Pulivarthi; Reza Arsanjani; Robert J. Obermeyer

doi:10.1055/s-0038-1668130

European Journal of Pediatric Surgery, Table of Contents

Eur J Pediatr Surg 2018; 28(04): 327-346
DOI: 10.1055/s-0038-1668130

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Cardiopulmonary Function in Thoracic Wall Deformities: What Do We Really Know?

Dawn E. Jaroszewski

¹Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States

,

Cristine S. Velazco

¹Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States

,

Venkata Siva Krishna Kumar Pulivarthi

¹Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States

,

Reza Arsanjani

²Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, United States

,

Robert J. Obermeyer

³Department of Pediatric Surgery, Children's Hospital of the King's Daughters, Norfolk, Virginia, United States

› Author Affiliations

Abstract

Patients with pectus excavatum (PE) frequently present with complaints of exercise intolerance and cardiopulmonary symptoms. There continues to be controversy regarding the physiologic benefits of repair. The aim of this review is to summarize and discuss recent data regarding the cardiopulmonary effects of PE deformity and the evidence for improvement obtained after surgical repair including (1) a greater efficiency of breathing (chest wall mechanics), (2) improvement in pulmonary restrictive deficits, (3) an increase in cardiac chamber size and output, with improved cardiac strain and strain rate, and (4) improvement in exercise capacity.

Keywords

pectus excavatum - Nuss procedure - pulmonary function testing - cardiac imaging - cardiopulmonary exercise testing

Full Text

References

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