Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri

Eyüp Aslan; Ahmet Sert; Fatih Sap; Ebru Aypar; Dursun Odabaş

Research Article

Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri

Year 2017, Volume: 15 Issue: 2, 34 - 37, 08.08.2017

Eyüp Aslan Ahmet Sert Fatih Sap Ebru Aypar Dursun Odabaş

Abstract

INTRODUCTION: To determine the
demographic, clinical and echocardiographic characteristics of children with
chest wall deformities.

METHODS: The patients diagnosed with chest wall deformities were investigated
retrospectively in the pediatric cardiology unit over a period of three years.
The study enrolled 205 children under the age of 18 years diagnosed with chest
wall deformities.

RESULTS: The mean age of the patients was 7.6 ± 4.5 years with a median of 8
years. One hundred and sixty four (80 %) patients with chest wall deformities
were found to have normal echocardiography results. Incidental
echocardiographic diagnoses included 10 (4.87%) atrial septal defects, 8
(3.90%) mitral valve prolapses, 7 (3.41%) mild mitral regurgitations, 5 (2.44%)
bicuspid aortic valve without aortic valve stenoses, 4 (1.95%) ventricular
septal defects, 2 (0.98%) mild aortic regurgitations, 2 (0.98%) dextrocardia, 2
(0.98%) coarctations of the aorta, and 1
(0.49%) complex cardiac defect (pulmonary atresia and VSD). Compression in the
right heart was evaluated by echocardiography in 15 patients (7.3%).

DISCUSSION AND CONCLUSION: Because chest wall deformities are associated with
congenital heart defects in children and may cause compression in the right
heart, evaluation by echocardiography can ensure an optimal management of the
defects.

Keywords

Child, echocardiography, chest wall deformity, Çocuk, ekokardiyografi, göğüs duvarı deformitesi

References

1. Fokin AA, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 2009;21:44-57.
2. Brochhausena C, Salmai T, Müllera FKP, Schmitta VH, Coerdta W, Wihlmc JM, Schierb F, Kirkpatricka CJ. Pectus excavatum: history, hypotheses and treatment options. Interactive CardioVascular and Thoracic Surgery 2012;14: 801–6.
3. Park JM, Varma SK. Pectus excavatum in children : Diagnostic significance for mitral valve prolapse. The Indian Journal of Pediatrics 1990;57 219-22. 4. Tang M, Nielsen HH, Lesbo M, Frøkiær J, Maagaard M, Pilegaard HK, Hjortdal VE. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg 2012;41:1063-7.
5. Desmarais TJ, Keller MS. Pectus carinatum. Curr Opin Pediatr 2013;25:375-81.
6. Shamberger RC, Welch KJ, Castaneda AR, Keane JF, Fyler DC. Anterior chest wall deformities and congenital heart disease. J Thorac Cardiovasc Surg 1988:96(3):427-32.
7. Simsek Z, Gunay E, Aksakal E, Kutucularoglu MG, Guneren G. İzole pektus ekskavatumlu genç erişkin hastaların kardiyopulmoner bulgularının değerlendirilmesi. Anadolu Kardiyol Derg 2011;1:77-8.
8. Akcali Y, Ceyran H, Hasdiraz L. Chest wall deformities. Acta Chir Hung 1999; 38:1-3.
9. Esme H, Bukulmez A, Dogru O, Solak O. Afyon ili ilköğretim okulu çocuklarında gögüs duvarı deformitelerinin prevalansı. Turkish J Thorac Cardiovasc Surg 2006;14:34-7.
10. 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.
11. 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.
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. Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol 2007;12:1762-4.

Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri

Year 2017, Volume: 15 Issue: 2, 34 - 37, 08.08.2017

Eyüp Aslan Ahmet Sert Fatih Sap Ebru Aypar Dursun Odabaş

Abstract

GİRİŞ ve AMAÇ: Göğüs duvarı deformitesi
olan çocukların demografik, klinik ve ekokardiyografik özelliklerinin
değerlendirilmesi amaçlandı.

YÖNTEM ve GEREÇLER: Çocuk kardiyoloji ünitesinde üç yıl süreyle göğüs duvarı
deformitesi tanısı alan hastalar retrospektif olarak değerlendirildi.

BULGULAR: Ortanca yaşı 8 olan hastaların ortalama yaşı 7.6 ± 4.5 idi. Göğüs
duvarı deformitesi olan yüz altmış dört (% 80) hastanın ekokardiyografik
değerlendirmesi normaldi. Ekokardiyografik tanıları 10 (% 4.87) atriyal septal
defekt, 8 (% 3.90) mitral kapak prolapsusu, 7 (% 3.41) hafif mitral
yetersizliği, 5 (% 2.44) darlık olmayan biküspit aort kapağı, 4 (% 1.95)
ventriküler septal defekt, 2 (% 0.98) hafif aort kapak yetersizliği, 2 (% 0.98)
dekstrokardi, 2 (% 0.98) aort koarktasyonu ve 1 (% 0.49) kompleks kalp defekti
(pulmoner atrezi ve ventriküler septal defekt) idi. Ekokardiyografi ile
değerlendirilen sağ kalbe bası bulgusu 15 (% 7.3) hastada saptandı.

TARTIŞMA ve SONUÇ: Göğüs duvarı deformitelerinin doğuştan kalp hastalıkları ile
ilişkili olması ve kalbe bası bulgusu oluşturabilmeleri sebebiyle
ekokardiyografi ile değerlendirilmesi defektlerin en uygun şekilde
yönetilmesini sağlayacaktır.

ABSTRACT

INTRODUCTION: To determine the
demographic, clinical and echocardiographic characteristics of children with
chest wall deformities.

METHODS: The patients diagnosed with chest wall deformities were investigated
retrospectively in the pediatric cardiology unit over a period of three years.
The study enrolled 205 children under the age of 18 years diagnosed with chest
wall deformities.

RESULTS: The mean age of the patients was 7.6 ± 4.5 years with a median of 8
years. One hundred and sixty four (80 %) patients with chest wall deformities
were found to have normal echocardiography results. Incidental
echocardiographic diagnoses included 10 (4.87%) atrial septal defects, 8
(3.90%) mitral valve prolapses, 7 (3.41%) mild mitral regurgitations, 5 (2.44%)
bicuspid aortic valve without aortic valve stenoses, 4 (1.95%) ventricular
septal defects, 2 (0.98%) mild aortic regurgitations, 2 (0.98%) dextrocardia, 2
(0.98%) coarctations of the aorta, and 1
(0.49%) complex cardiac defect (pulmonary atresia and VSD). Compression in the
right heart was evaluated by echocardiography in 15 patients (7.3%).

DISCUSSION AND CONCLUSION: Because chest wall deformities are associated with
congenital heart defects in children and may cause compression in the right
heart, evaluation by echocardiography can ensure an optimal management of the
defects.

Keywords

Çocuk, ekokardiyografi, göğüs duvarı deformitesi

References

1. Fokin AA, Steuerwald NM, Ahrens WA, Allen KE. Anatomical, histologic, and genetic characteristics of congenital chest wall deformities. Semin Thorac Cardiovasc Surg 2009;21:44-57.
2. Brochhausena C, Salmai T, Müllera FKP, Schmitta VH, Coerdta W, Wihlmc JM, Schierb F, Kirkpatricka CJ. Pectus excavatum: history, hypotheses and treatment options. Interactive CardioVascular and Thoracic Surgery 2012;14: 801–6.
3. Park JM, Varma SK. Pectus excavatum in children : Diagnostic significance for mitral valve prolapse. The Indian Journal of Pediatrics 1990;57 219-22. 4. Tang M, Nielsen HH, Lesbo M, Frøkiær J, Maagaard M, Pilegaard HK, Hjortdal VE. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg 2012;41:1063-7.
5. Desmarais TJ, Keller MS. Pectus carinatum. Curr Opin Pediatr 2013;25:375-81.
6. Shamberger RC, Welch KJ, Castaneda AR, Keane JF, Fyler DC. Anterior chest wall deformities and congenital heart disease. J Thorac Cardiovasc Surg 1988:96(3):427-32.
7. Simsek Z, Gunay E, Aksakal E, Kutucularoglu MG, Guneren G. İzole pektus ekskavatumlu genç erişkin hastaların kardiyopulmoner bulgularının değerlendirilmesi. Anadolu Kardiyol Derg 2011;1:77-8.
8. Akcali Y, Ceyran H, Hasdiraz L. Chest wall deformities. Acta Chir Hung 1999; 38:1-3.
9. Esme H, Bukulmez A, Dogru O, Solak O. Afyon ili ilköğretim okulu çocuklarında gögüs duvarı deformitelerinin prevalansı. Turkish J Thorac Cardiovasc Surg 2006;14:34-7.
10. 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.
11. 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.
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. Guntheroth WG, Spiers PS. Cardiac function before and after surgery for pectus excavatum. Am J Cardiol 2007;12:1762-4.

There are 12 citations in total.

Details

Primary Language	English
Subjects	Internal Diseases
Journal Section	Araştırma
Authors	Eyüp Aslan This is me Ahmet Sert This is me Fatih Sap This is me Ebru Aypar This is me Dursun Odabaş This is me
Publication Date	August 8, 2017
Published in Issue	Year 2017 Volume: 15 Issue: 2

Cite

APA	Aslan, E., Sert, A., Sap, F., Aypar, E., et al. (2017). Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri. Güncel Pediatri, 15(2), 34-37.
AMA	Aslan E, Sert A, Sap F, Aypar E, Odabaş D. Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri. Güncel Pediatri. August 2017;15(2):34-37.
Chicago	Aslan, Eyüp, Ahmet Sert, Fatih Sap, Ebru Aypar, and Dursun Odabaş. “Demographic, Clinical and Echocardiographic Characteristics of Children With Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik Ve Ekokardiyografik Özellikleri”. Güncel Pediatri 15, no. 2 (August 2017): 34-37.
EndNote	Aslan E, Sert A, Sap F, Aypar E, Odabaş D (August 1, 2017) Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri. Güncel Pediatri 15 2 34–37.
IEEE	E. Aslan, A. Sert, F. Sap, E. Aypar, and D. Odabaş, “Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri”, Güncel Pediatri, vol. 15, no. 2, pp. 34–37, 2017.
ISNAD	Aslan, Eyüp et al. “Demographic, Clinical and Echocardiographic Characteristics of Children With Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik Ve Ekokardiyografik Özellikleri”. Güncel Pediatri 15/2 (August 2017), 34-37.
JAMA	Aslan E, Sert A, Sap F, Aypar E, Odabaş D. Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri. Güncel Pediatri. 2017;15:34–37.
MLA	Aslan, Eyüp et al. “Demographic, Clinical and Echocardiographic Characteristics of Children With Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik Ve Ekokardiyografik Özellikleri”. Güncel Pediatri, vol. 15, no. 2, 2017, pp. 34-37.
Vancouver	Aslan E, Sert A, Sap F, Aypar E, Odabaş D. Demographic, Clinical and Echocardiographic Characteristics of Children with Chest Wall Deformities Göğüs Duvarı Deformitesi Olan Çocukların Demografik, Klinik ve Ekokardiyografik Özellikleri. Güncel Pediatri. 2017;15(2):34-7.