Pectus excavatum: echocardiography and cardiac MRI reveal frequent pericardial effusion and right-sided heart anomalies
| Autor: | Rolf Jenni, C.H. Attenhofer Jost, Monica Pfyffer, Anja Faeh-Gunz, S. Oezcan, Burkhardt Seifert, Oliver Kretschmar, Christian J. Kellenberger, Christoph Scharf, Christian Binggeli, E.R. Valsangiacomo Buechel |
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| Přispěvatelé: | University of Zurich, Attenhofer Jost, C H |
| Rok vydání: | 2012 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Cardiomyopathy Magnetic Resonance Imaging Cine 610 Medicine & health Pericardial effusion 2705 Cardiology and Cardiovascular Medicine Pericardial Effusion Statistics Nonparametric Electrocardiography Pectus excavatum Cardiac magnetic resonance imaging Internal medicine medicine 2741 Radiology Nuclear Medicine and Imaging Humans Radiology Nuclear Medicine and imaging Prospective Studies medicine.diagnostic_test business.industry Magnetic resonance imaging 10060 Epidemiology Biostatistics and Prevention Institute (EBPI) General Medicine Middle Aged medicine.disease Arrhythmogenic right ventricular dysplasia 10036 Medical Clinic Echocardiography Funnel Chest 10209 Clinic for Cardiology cardiovascular system Cardiology Haller index Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European heart journal. Cardiovascular Imaging. 13(8) |
| ISSN: | 2047-2412 |
| Popis: | In patients with pectus excavatum (PEX), echocardiographic assessment can be difficult. There are little data on the impact of the chest deformity on echocardiographic findings and comparison of data obtained by echocardiography (echo) with cardiac magnetic resonance imaging (CMR) in PEX.In a prospective study, cardiac anomalies in PEX were analysed by echo and compared with CMR in consecutive patients with PEX referred for echo. If they agreed to participate, the patients were referred for CMR and included if the pectus index was ≥3.0 by CMR. Also, clinical data and electrocardiogram tracings were analysed. There were 18 patients (13 females; 72%), with a mean age of 53±16 years; mean pectus index was 4.7 (range: 3-7.3). Echo showed haemodynamically insignificant pericardial effusion in six patients (33%), tricuspid valve prolapse in five (28%), right ventricular (RV) localized wall motion anomalies (WMA) in five (28%) and diminished RV systolic function in two (11%); no patient had RV dilatation. CMR demonstrated cardiac displacement to the left in 9 patients (50%); minimal pericardial effusion was seen in 10 patients (56%; P value=0.13 compared with echo), RV localized WMA in 6 (44%; P value=1.0), diminished RV systolic function in 8 (44%; P=0.07), and RV dilatation in 5 (28%; P=0.06). A completely normal cardiac examination was found in six patients by echo (33%) and in 2 (11%) using CMR. Although some signs of arrhythmogenic RV cardiomyopathy (ARVC) were present, no patient fulfilled the ARVC criteria.In severe PEX, haemodynamically insignificant pericardial effusion, tricuspid valve prolapse and other RV anomalies possibly due to RV displacement are frequent as demonstrated by both CMR and echo. The cardiac assessment by echo and CMR did show discrepancies; however, they were not significant. |
| Databáze: | OpenAIRE |
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