Chest radiography in pectus excavatum: Recognition of pectus excavatum-related signs and assessment of severity before and after surgical correction

1994 ◽  
Vol 4 (3) ◽  
pp. 197-202 ◽  
Author(s):  
W. J. Morshuis ◽  
J. O. Barentsz ◽  
L. K. Lacquet ◽  
H. T. Folgering ◽  
J. G. Mulder ◽  
...  
Keyword(s):  
Chest Radiography ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Before And After

scholarly journals Aesthetic outcomes after surgical repair of pectus excavatum in females: Differences between patients and professional evaluators

2020 ◽  
Vol 47 (2) ◽  
pp. 126-134
Author(s):  
Tanja Wachter ◽  
Barbara Del Frari ◽  
Michael Edlinger ◽  
Evi Maria Morandi ◽  
Christina Mayerl ◽  
...  
Keyword(s):  
Pectus Excavatum ◽  
Well Being ◽  
Surgical Correction ◽  
Medical Professionals ◽  
Self Perception ◽  
Body Perception ◽  
Female Patients ◽  
Before And After ◽  
Pectus Bar ◽  
Psychological Questionnaire

Background Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients’ versus medical professionals’ evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients’ self-perception.Methods Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared.Results Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients’ self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education.Conclusions Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient’s self-perception.

scholarly journals Right Ventricular Compression Mimicking Brugada-Like Electrocardiogram in a Patient with Recurrent Pectus Excavatum

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Jinhee Ahn ◽  
Jong-Il Choi ◽  
Jaemin Shim ◽  
Sung Ho Lee ◽  
Young-Hoon Kim
Keyword(s):  
Pectus Excavatum ◽  
Surgical Correction ◽  
Mechanical Compression ◽  
St Segment Elevation ◽  
Skeletal Anomaly ◽  
St Segment ◽  
Chest Deformity ◽  
The Right ◽  
Electrocardiogram Ecg ◽  
Benign Course

Pectus excavatum (PE), the most common skeletal anomaly of chest wall, sometimes requires a surgical correction but recurrent PE is not uncommon. PE usually has a benign course; however, this chest deformity may be associated with symptomatic tachyarrhythmias due to mechanical compression. We report a case of a patient with recurrent PE after surgical correction presenting with palpitation and electrocardiogram (ECG) showing ST-segment elevation on the right precordial leads, which could be mistaken for a Brugada syndrome (BrS).

scholarly journals The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent

2019 ◽  
Vol 30 (02) ◽  
pp. 205-209
Author(s):  
Wietse P. Zuidema ◽  
Alida F. W. van der Steeg ◽  
Stefan van der Heide ◽  
Gerda W. Zijp ◽  
Robertine van Baren ◽  
...  
Keyword(s):  
Social Life ◽  
Pectus Excavatum ◽  
Single Step ◽  
Chest Wall Deformity ◽  
Single Measurement ◽  
Time Intervals ◽  
Time Of Application ◽  
Before And After ◽  
Postoperative Time ◽  
Measurement Moment

Abstract Introduction Pectus excavatum (PE) is the most common chest wall deformity. Patients with PE may have cosmetic complaints, restricted physical capabilities, or both and may seek surgical correction. One method to assess satisfaction after surgery is the single step questionnaire (SSQ). Although the developers state that the SSQ produces a stabile score and only needs to be used once, we hypothesized that the score may depend on point in time after surgery. Materials and Methods One hundred and eight patients from a longitudinal cohort of patients undergoing a Nuss bar placement for PE were selected. Mean age was 16.0 years (range: 12–29). SSQ was completed at 6 weeks, 6 months, 1 year, and 2 years postoperatively. Mean and median scores per question and total scores were calculated on each measurement moment. Overall scores were tested using the Friedman test. Results There were significant differences in overall SSQ scores (p < 0.009) throughout the postoperative period, especially between 6 weeks and 6 months (p = 0.006). Scores on general health, exercise capacity, impact on social life, pain during hospital stay, and after discharge changed also significant in the first 2 years after Nuss bar placement. Conclusion There were significant differences in total SSQ score depending on the time of application postoperatively. However, the most clinical relevant difference was between 6 weeks and 6 months. Assessment of the overall satisfaction postoperative with the SSQ questionnaire should not be done with a single measurement but rather at different postoperative time intervals before and after 6 months postoperatively.

scholarly journals Electrocardiographic Changes before and after Surgical Correction of Isolated pulmonic Stenosis

1975 ◽  
Vol 87 (5-6) ◽  
pp. 437-449
Author(s):  
Akiko Okuyama ◽  
Setsuro Tanetani ◽  
Nagayasu Ogasawara ◽  
Hiroshi Sakai ◽  
Hiroshi Sakakibara ◽  
...  
Keyword(s):  
Surgical Correction ◽  
Pulmonic Stenosis ◽  
Before And After ◽  
Electrocardiographic Changes

Current Options for the Treatment of Pectus Carinatum: When to Brace and When to Operate?

2018 ◽  
Vol 28 (04) ◽  
pp. 347-354 ◽  
Author(s):  
Sherif Emil
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Surgical Correction ◽  
Diagnosis And Treatment ◽  
Pectus Carinatum ◽  
The Past ◽  
Minimally Invasive Surgical

AbstractPectus carinatum has traditionally been described as a rare chest wall anomaly in comparison to pectus excavatum. However, recent data from chest wall anomaly clinics demonstrate that this deformity is probably much more frequent than once believed. In the past, invasive surgical correction by the Ravitch technique was essentially the only option for treatment of pectus carinatum. Major advances over the past two decades have provided additional options, including noninvasive chest wall bracing and minimally invasive surgical correction. This article will discuss current options for the treatment of pectus carinatum, and some of the factors that should be taken into account when choosing the options available. Diagnosis and treatment of the pectus arcuatum variant will also be described.

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