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Presyncope in a Patient Status Post Pectus Excavatum Repair
Mikhail Carlow1, Rajeev Seecheran2, Valmiki Seecheran2
1Cardiology Unit, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago.
Abstract:
Pectus excavatum (PEX) is an anterior chest wall deformity with sternal depression relative to the costal cartilages. We describe a patient status post remote PEX repair who presented with presyncope attributed to bifascicular block, partial right ventricular outflow tract (RVOT) obstruction, and right coronary artery (RCA) ischemia. Key Clinical Message: The clinician should be cognizant of the hemodynamic impact and electrocardiographic changes in a symptomatic patient status post pectus excavatum repair.
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