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Pectus excavatum: uncommon electrical abnormalities caused by extrinsic right ventricular compression
Yee-Sen Chan Wah Hak1, Yeong-Phang Lim, Reginald Liew
1Department of Medicine, St Vincent's Hospital, Melbourne, Australia.
Journal of Cardiovascular Electrophysiology
|December 6, 2013
Summary
Pectus excavatum, a chest deformity, can rarely cause exercise-induced ventricular tachycardia. Surgical correction of the deformity successfully treated this rare cardiac arrhythmia in a young man.
Area of Science:
- Cardiology
- Thoracic Surgery
- Clinical Case Study
Background:
- Pectus excavatum is a congenital chest wall deformity.
- It is typically associated with supraventricular arrhythmias.
- Ventricular tachycardia is a rare complication of pectus excavatum.
Observation:
- A 19-year-old male presented with exercise-induced ventricular tachycardia.
- The patient had a significant pectus excavatum deformity.
- This association is exceptionally uncommon in medical literature.
Findings:
- Surgical correction of pectus excavatum was performed.
- The ventricular tachycardia resolved post-surgery.
- No recurrence of ventricular arrhythmia was noted at 3-year follow-up.
Implications:
- Surgical repair of pectus excavatum may be an effective treatment for associated ventricular tachycardia.
- This case highlights the importance of considering pectus excavatum in young patients with unexplained ventricular arrhythmias.
- Further research may elucidate the mechanism linking pectus excavatum to ventricular tachycardia.
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