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Clinical, Demographic and Echocardiographic Characteristics Of Pediatric Chest Deformities

Year 2023, , 360 - 364, 22.03.2023
https://doi.org/10.16899/jcm.1221665

Abstract

Objective: We aimed to retrospectively evaluate the clinical, demographic, clinical and echocardiographic findings of children diagnosed with chest deformity in the pediatric cardiology clinic.
Material and Method: This study enrolled children under the age of 18 years who were referred with chest deformity to our pediatric cardiology unit, over a period of six years (January 2017-December 2022).
Results: The mean age of the patients was 9.9 ± 5.2 years, median 11 years (0-18 years old). 89 patients with abnormal echocardiographic findings: 42 (9.56%) mitral valve prolapse, 18 (4.1%) atrial septal defect, 9 (2%) ventricular septal defect, 8 (1.82%) bicuspid without aortic valve stenosis aortic valve, 5 (1.1%) patent ductus arteriosus, 2 (0.45%) pulmonary stenosis, 2 (0.45%) great artery transposition, 2 (0.45%) hypertrophic cardiomyopathy, subaortic ridge 1 (% 0.27). Cardiac compression was present in 13.4% of the cases with pectus excavatum. 13(%3) patients were operated by a thoracic surgeon. Marfan Syndrome was diagnosed in 7 patients and Noonan Syndrome was diagnosed in 2 patients who applied to our clinic with chest deformity.
Conclusion: We suggest that echocardiographic examination in patients with chest deformity is important in the diagnosis of congenital heart diseases, early diagnosis and treatment of heart compression finding.

References

  • 1-Yavuzer Ş. Konjenital Anterior Chest Wall Deformities, Turkish Thoracic Society, Thor Surg Bullet September.2011: 164-168. 2- Langer E. Zuckerkandel. Untersuchungen über den mißbildeten Brustkorb des. Herrn JW Wiener med Zeit. 1880; 49: 515.
  • 3- Kelly RE, Goretsky MJ, Obermeyer R, Kuhn MA, Redlinger R, Haney TS et al. Twenty-one years of experience with minimally invasive repair of pectus excavatum by the nuss procedure in 1215 patients. Ann Surg 2010; 252: 107
  • 4- Williams AM, Crabbe DC. Pectus deformities of the anterior chest wall. Paediatr Respir Rev 2003;4:237-42.
  • 5- Soysal O, Yakıncı C, Durmaz Y. The prevalence of chest wall deformities and an overview of chest wall deformities in primary school children in Malatya city center. Clinic Scien & Doct 1999;5:382-5.
  • 6- Robert C. Shamberger. Chest Wall Deformities. In Shilds TW. LoCicero III Reed CA. Feins RH eds. Gen Thor Surg 7th edition. Lippincott Williams & WilkinsCh 43, 2009; 599-628.
  • 7- Fonkalsrud EW. Surgical Management of Pectus Carinatum. Oper Techn in Thor and Card Surg 2000; 5: 110-7. 8- Blanco FC, Elliott ST, Sandler AD. Management of congenital chest wall deformities. Semin Plast Surg 2011; 25: 107- 16. 9- Robert C. Shamberger. Chest Wall Deformities. In Shilds TW. LoCicero III Reed CA. Feins RH eds. Gen Thor Surg 7th edition. Lippincott Williams & WilkinsCh 43, 2009; 599-628.
  • 10. Van der Bom T, Zomer AC, Zwinderman AH, Meijboom FJ, Bouma BJ, Mulder BJ. The changing epidemiology of congenital heart disease. Nat Rev Cardiol. 2011; 8:50–60.
  • 11- ParkJM, Varma SK. Pectus excavatum in children: Diagnostic significance for mitral valve prolapse. The Indian J Pediatr 1990;57 219-22.
  • 12- Coln E, Carrasco J, Coln D. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg 2006;41: 683–6.
  • 13- Simsek Z, Gunay E, Aksakal E, Kutucularoglu MG, Guneren G. Evaluation of cardiopulmonary findings in young adult patients with isolated pectus excavatum. Anat J Card 2011; 1:77-8.
  • 14- Akcalı Y, Ceyran H, Hasdiraz L. Chest Wall deformities. Acta Chir Hung 199;38:1-3.
  • 15- Sanchez Cascos A. Association of cardiac and sternal malformations. An Esp Pediatr 1989;30:686-95. 16- Kikuchi S, Ingu A, Ito M. Simultaneous repair of pectus excavatum and tetralogy of fallot: report of a case. Ann Thorac Cardiovasc Surg 2005; 11:320-3.
  • 17- Zhao L, Feinberg MS, Gaides M, et al. Why is exercise capacity reduced in subjects with pectus excavatum? J Pediatr 2000;136(2):163–7.
  • 18- Cahill JL, Lees GM, Robertson HT. A summary of preoperative and postoperative cardiorespiratory performance in patients undergoing pectus excavatum and carinatum repair. J Pediatr Surg 1984;19(4):430–3.
  • 19- Kowalewski J, Brocki M, Dryjanski T, et al. Pectus excavatum: increase of right ventricular systolic, diastolic, and stroke volumes after surgical repair. J Thorac Cardiovasc Surg 1999;118(1):87–92.
  • 20- Cobben JM, Oostra RJ, van Dijk FS. Pectus excavatum and carinatum. Eur J Med Genet 2014; 57: 414-417.
  • 21- Andreescu N, Sharma A, Mihailescu A et al. Chest wall deformities and their possible associations with different genetic syndromes. Europ Rev for Med and Pharmacol Scien. 2022; 26: 5107-5114.
  • 22- Randhawa AK, Mishra C, Gogineni SB, Shetty S. Marfan syndrome: report of two cases with review of literature. Niger J Clin Pract 2012; 15:364-8.
  • 23- Hickey EJ, Mehta R, Elmi M, Asoh K, McCrindle BW, Williams WG, Manlhiot C, Benson L. Survival implications: hypertrophic cardiomyopathy in Noonan syndrome. Congenit Heart Dis. 2011;6:41–7.

Pediatrik Göğüs Deformitelerinin Klinik, Demografik ve Ekokardiyografik Özellikleri

Year 2023, , 360 - 364, 22.03.2023
https://doi.org/10.16899/jcm.1221665

Abstract

Amaç: Çocuk kardiyoloji kliniğinde göğüs deformitesi tanısı alan çocukların klinik, demografik, klinik ve ekokardiyografik bulgularını retrospektif olarak değerlendirmeyi amaçladık.
Gereç Ve Yöntem: Bu çalışmaya altı yıl boyunca (Ocak 2017-Aralık 2022) pediatrik kardiyoloji birimimize göğüs deformitesi ile başvuran 18 yaş altı çocuklar dahil edildi.
Bulgular: Hastaların yaş ortalaması 9,9 ± 5,2 median:11 yaş (0-18 yaş) idi. Anormal ekokardiyografik bulguları olan 89 hasta: 42 (%9,56) mitral kapak prolapsusu, 18 (%4,1) atriyal septal defekt, 9 (%2) ventriküler septal defekt, 8 (%1,82) aort kapak darlığı olmayan biküspid aort kapak, 5 (%1,1) patent duktus arteriozus, 2 (%0,45) pulmoner darlık, 2 (%0,45) büyük arter transpozisyonu, 2 (%0,45) hipertrofik kardiyomiyopati, subaortik ridge 1 (%0,27) idi. Pektus ekskavatumlu olguların %13.4'ünde kardiyak bası vardı. 13(%3) hasta göğüs cerrahisi tarafından opere edildi. Göğüs deformitesi ile kliniğimize başvuran 7 hastada Marfan Sendromu, 2 hastada Noonan Sendromu teşhis edildi.
Sonuç: Göğüs deformitesi olan hastalarda ekokardiyografik incelemenin doğumsal kalp hastalıklarının tanısında, kalp sıkışması bulgusunun erken tanı ve tedavisinde önemli olduğunu düşünüyoruz.

References

  • 1-Yavuzer Ş. Konjenital Anterior Chest Wall Deformities, Turkish Thoracic Society, Thor Surg Bullet September.2011: 164-168. 2- Langer E. Zuckerkandel. Untersuchungen über den mißbildeten Brustkorb des. Herrn JW Wiener med Zeit. 1880; 49: 515.
  • 3- Kelly RE, Goretsky MJ, Obermeyer R, Kuhn MA, Redlinger R, Haney TS et al. Twenty-one years of experience with minimally invasive repair of pectus excavatum by the nuss procedure in 1215 patients. Ann Surg 2010; 252: 107
  • 4- Williams AM, Crabbe DC. Pectus deformities of the anterior chest wall. Paediatr Respir Rev 2003;4:237-42.
  • 5- Soysal O, Yakıncı C, Durmaz Y. The prevalence of chest wall deformities and an overview of chest wall deformities in primary school children in Malatya city center. Clinic Scien & Doct 1999;5:382-5.
  • 6- Robert C. Shamberger. Chest Wall Deformities. In Shilds TW. LoCicero III Reed CA. Feins RH eds. Gen Thor Surg 7th edition. Lippincott Williams & WilkinsCh 43, 2009; 599-628.
  • 7- Fonkalsrud EW. Surgical Management of Pectus Carinatum. Oper Techn in Thor and Card Surg 2000; 5: 110-7. 8- Blanco FC, Elliott ST, Sandler AD. Management of congenital chest wall deformities. Semin Plast Surg 2011; 25: 107- 16. 9- Robert C. Shamberger. Chest Wall Deformities. In Shilds TW. LoCicero III Reed CA. Feins RH eds. Gen Thor Surg 7th edition. Lippincott Williams & WilkinsCh 43, 2009; 599-628.
  • 10. Van der Bom T, Zomer AC, Zwinderman AH, Meijboom FJ, Bouma BJ, Mulder BJ. The changing epidemiology of congenital heart disease. Nat Rev Cardiol. 2011; 8:50–60.
  • 11- ParkJM, Varma SK. Pectus excavatum in children: Diagnostic significance for mitral valve prolapse. The Indian J Pediatr 1990;57 219-22.
  • 12- Coln E, Carrasco J, Coln D. Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum. J Pediatr Surg 2006;41: 683–6.
  • 13- Simsek Z, Gunay E, Aksakal E, Kutucularoglu MG, Guneren G. Evaluation of cardiopulmonary findings in young adult patients with isolated pectus excavatum. Anat J Card 2011; 1:77-8.
  • 14- Akcalı Y, Ceyran H, Hasdiraz L. Chest Wall deformities. Acta Chir Hung 199;38:1-3.
  • 15- Sanchez Cascos A. Association of cardiac and sternal malformations. An Esp Pediatr 1989;30:686-95. 16- Kikuchi S, Ingu A, Ito M. Simultaneous repair of pectus excavatum and tetralogy of fallot: report of a case. Ann Thorac Cardiovasc Surg 2005; 11:320-3.
  • 17- Zhao L, Feinberg MS, Gaides M, et al. Why is exercise capacity reduced in subjects with pectus excavatum? J Pediatr 2000;136(2):163–7.
  • 18- Cahill JL, Lees GM, Robertson HT. A summary of preoperative and postoperative cardiorespiratory performance in patients undergoing pectus excavatum and carinatum repair. J Pediatr Surg 1984;19(4):430–3.
  • 19- Kowalewski J, Brocki M, Dryjanski T, et al. Pectus excavatum: increase of right ventricular systolic, diastolic, and stroke volumes after surgical repair. J Thorac Cardiovasc Surg 1999;118(1):87–92.
  • 20- Cobben JM, Oostra RJ, van Dijk FS. Pectus excavatum and carinatum. Eur J Med Genet 2014; 57: 414-417.
  • 21- Andreescu N, Sharma A, Mihailescu A et al. Chest wall deformities and their possible associations with different genetic syndromes. Europ Rev for Med and Pharmacol Scien. 2022; 26: 5107-5114.
  • 22- Randhawa AK, Mishra C, Gogineni SB, Shetty S. Marfan syndrome: report of two cases with review of literature. Niger J Clin Pract 2012; 15:364-8.
  • 23- Hickey EJ, Mehta R, Elmi M, Asoh K, McCrindle BW, Williams WG, Manlhiot C, Benson L. Survival implications: hypertrophic cardiomyopathy in Noonan syndrome. Congenit Heart Dis. 2011;6:41–7.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Melih Timuçin Doğan 0000-0003-3565-8606

Ahmet Sert 0000-0002-1607-7569

Publication Date March 22, 2023
Acceptance Date March 3, 2023
Published in Issue Year 2023

Cite

AMA Doğan MT, Sert A. Clinical, Demographic and Echocardiographic Characteristics Of Pediatric Chest Deformities. J Contemp Med. March 2023;13(2):360-364. doi:10.16899/jcm.1221665