Surgical repair of pectus excavatum relieves right heart chamber compression and improves cardiac output in adult patients - An intraoperative transesophageal echocardiographic study

Chieh Ju Chao, Dawn E. Jaroszewski, Preetham N. Kumar, Mennatallah M. Ewais, Christopher P. Appleton, Farouk Mookadam, Michael Gotway, Tasneem Zehra Naqvi

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Background Cardiac compression in pectus excavatum (PE) deformity and effect of PE surgery on cardiac function in adults have been debated. We examined the effect of PE correction on right heart size and cardiac output. Methods A retrospective evaluation was performed of 168 adult patients who underwent a modified Nuss PE repair with intraoperative transesophageal echocardiography from 2011 to 2014. Seventeen patients with prior PE repair undergoing bar removal acted as controls. Results Mean age was 33.0 years (range, 18 to 71 years). There was an increase in right atrium (15.1%), tricuspid annulus (10.9%), and right ventricular outflow tract (6.1%) size after surgery (all P

Original languageEnglish (US)
Pages (from-to)1118-1125
Number of pages8
JournalAmerican Journal of Surgery
Volume210
Issue number6
DOIs
StatePublished - Dec 1 2015

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Keywords

  • Cardiac output
  • Doppler ultrasound
  • Nuss surgery
  • Pectus excavatum
  • Right heart
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Surgery

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