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Cardiac anomalies in pediatric patients with pectus excavatum
Ahmet Acipayam1, Utku Ufuk Güllü2, Şükrü Güngör3
1Kahramanmaraş Sütçü İmam University, Faculty of Medicine, Department of Thoracic Surgery - Kahramanmaras, Turkey.
Insights
Pediatric pectus excavatum patients show a higher incidence of cardiac issues, including valve prolapse and congenital heart disease. Early referral to pediatric cardiology is recommended for timely diagnosis and management.
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Congenital Anomalies
Background:
- Pectus excavatum is a common thoracic wall deformity.
- It can be associated with congenital anomalies.
Purpose of the Study:
- To investigate the cardiac findings in children with pectus excavatum.
- To compare cardiac pathologies in pediatric pectus excavatum patients versus healthy children.
Main Methods:
- Analysis of cardiac findings in 36 children diagnosed with pectus excavatum.
- Comparison with cardiac data from 57 healthy children.
- Data collected between February 10, 2021, and October 1, 2021.
Main Results:
- Pectus excavatum patients had an increased risk of mitral insufficiency.
- Higher prevalence of mitral valve prolapse and tricuspid valve prolapse observed.
- Increased incidence of cardiac malposition and congenital heart disease noted in pectus excavatum group.
Conclusions:
- Pediatric pectus excavatum patients exhibit a higher prevalence of cardiac pathologies.
- Early cardiac evaluation is crucial for early diagnosis.
- Referral to pediatric cardiology is recommended for these patients.
Objective:
Pectus excavatum is the most prevalently encountered deformity of the thoracic wall. It can be accompanied by congenital anomalies.
Methods:
The cardiac findings of 36 children who were diagnosed at the Thoracic surgery outpatient clinic of our university between 10 February 2021 and 1 October 2021 and 57 healthy children in a similar age group were analyzed.
Results:
We determined that the pectus excavatum patients in our study had a higher risk of having mitral insufficiency, mitral valve prolapse, tricuspid valve prolapse, cardiac malposition, and congenital heart disease.
Conclusion:
Our study showed that the prevalence of cardiac pathologies was higher in pediatric pectus excavatum patients than in healthy children in the control group. Thus, we recommend clinicians to refer pediatric pectus excavatum patients to pediatric cardiology outpatient clinics for the early diagnosis of potential cardiac pathologies.
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