Assessment of Cardiac Anomalies in Pediatric Patients with Pectus Carinatum

Yıl 2024, Cilt: 7 Sayı: 4, 155 - 159, 15.07.2024

Ahmet Acıpayam , Ufuk Utku Güllü , Şükrü Güngör

https://doi.org/10.19127/bshealthscience.1490477

Öz

Pectus carinatum (PC) is an anterior thoracic visible deformity manifested by protrusion of the sternum. It can be an isolated chest deformity or it can be seen together with genetic pathologies. We analyzed the cardiac findings of 40 children who were diagnosed with pectus carinatum at Kahramanmaras Sutcu Imam University’s Thoracic Surgery Outpatient Clinic between 1 February 2021 and 1 February 2022 and 97 healthy controls in similar age groups. The Pectus Carinatum patients had higher rates of cardiac malposition, MVP (Mitral valve prolapse), MI (mitral insufficiency), TVP (tricuspid valve prolapse), CHD (congenital heart disease), and aortic valve pathology. Our study showed that the prevalence of cardiac pathologies in the pediatric PC patients was higher than that in the control group consisting of healthy children. Thus, it may be recommend the referral of pediatric PC patients to cardiology outpatient clinics for the early diagnosis of potential cardiac pathologies.

Anahtar Kelimeler

Pectus carinatum, Mitral valve prolapse, Cardiac anomaly, Mitral insufficiency

Kaynakça

• Balcı A, Çakmak M. 2018. Open surgical technique of pectus carinatum. Ankara Nobel Tıp Kitabevleri, Ankara, Türkiye, pp: 103-107.
• Blanco FC, Elliott ST, Sandler AD. 2011. Management of congenital chest wall deformities. Semi̇n Plast Surg, 25(1): 107-116.
• Colombani PM. 2009. Preoperative assessment of chest wall deformities. Semi̇n Thorac Cardi̇ovasc Surg, 21(1): 59-63.
• Doğan MT, Sert A.2023. Clinical, demographic and echocardiographic characteristics of pediatric chest deformities. J Contemp Med, 13(2): 360-364.
• Erçapan S, Sisli E. 2020. Congenital cardiac malformations associated with dextrocardia: analysis of 75 patients in a tertiary center. Osmangazi̇ Tıp Derg., 42(1): 61-66.
• Fonkalsrud E W, Beanes S.2000. Surgical management of pectus carinatum. Operati̇ve Techni̇q Thoraci̇c Cardi̇ovas Surg, 5(2): 110-117.
• Frick SL. 2000. Scoliosis in children with anterior chest wall deformities. Chest Surg Cli̇n N Am, 10(2): 427-436.
• Haje SA, Harcke HT, Bowen J R.1999. Growth disturbance of the sternum and pectus deformities: imaging studies and clinical correlation. Pedi̇atr Radi̇ol, 29(5):334-341.
• Hebra A, Swoveland B, Egbert M,Tagge E. 2000. Outcome analysis of minimally invasive repair of pectus excavatum: review of 251 cases. J Pedi̇atr Surg, 35(2): 252-257.
• Huang MH, Hui Tuan S, Jeng Tsai Y, Chun Huang W, Cheng Huang, Tsu Chang S, Long Lin K. 2023. Comparison of the results of cardiopulmonary exercise testing between healthy peers and pediatric patients with different echocardiographic severity of mitral valve prolapse. Life,13(2): 302.
• Lai WW, Geva T,Shirali GS,FrommeltPC,Humes RA,Brook MM,Pignatelli RH,Rychik J. 2006. Guidelines and standards for performance of a pediatric echocardiogram: a report from the task force of the pediatric council of the American society of echocardiography. J Am Soc Echocardi̇ogr, 19(12): 1413-1430.
• Martinez Ferro M, Bellia Munzon G,Schewitz I A,Toselli L.2019. Pectus carinatum: when less is more. Afr J Thorac Cri̇t Care Med, 25(3):10.
• Park Ch, Kim Th,Ham Sj,Lee S. 2013. Does overgrowth of costal cartilage cause pectus carinatum? a three-dimensional computed tomography evaluation of rib length and costal cartilage length in patients with asymmetric pectus carinatum. Interact Cardi̇ovasc Thorac Surg, 17(5):757-63.
• Pink W, Fu S, Li Y, Yu J, Zhang N, Fu X, Cai Y.2021. A new minimally invasive technique for correction of pectus carinatum. J Cardi̇othorac Surg, 16(1): 280.
• Sigalet DL, Montgomery M, Harder J. 2003. Cardiopulmonary effects of closed repair of pectus excavatum. J Pedi̇atr Surg, 38(3): 380-385.
• Wang W, Long W, Liu Y, Cai B Y, Luo J. 2022. Wenlin procedure for treatment of pectus carinatum. Inter J Surg Sci̇, 6(3): 74-77.
• Yuksel M, Lacin T, Ermerak NO, Sirzai EY, Sayan B.2018. Minimally ınvasive repair of pectus carinatum. Ann Thorac Surg, 105(3):915-923.