Cardiopulmonary function in adolescent patients with pectus excavatum or carinatum

Autor: Anne Tabard-Fougère, Maurice Beghetti, Salim Ramadan, Jim Wilde, Seema Toso, Jean-Paul Vallée, Regula Corbelli, Constance Barazzone-Argiroffo, Pierre Lascombes, Isabelle Ruchonnet-Métrailler
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 8, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2021-001020
Popis: Background Pectus excavatum (PE) and pectus carinatum (PC) have generally been considered an aesthetic issue, although there is growing evidence of associated cardiopulmonary function (CPF) impairment, especially in PE patients. The study goal was to determine any correlation between pectus malformations and cardiopulmonary symptoms and function based on systematic assessment of CPF and thoracic measurements, such as Haller Index (HI) and sternal torsion angle (STA).Methods Data from 76 adolescent patients with PE (n=30) or PC (n=46) were retrospectively collected referred between January 2015 and April 2018. CPF measurements and thoracic imaging were performed in all patients. HI and STA correction indexes were measured in all patients.Findings Medical records from 76 patients (PE n=30; PC n=46) were analysed. Patients were predominantly male (>93.3%), and aged between 13 and 14½ old. PE was associated with airway obstruction, with a forced expiratory volume in 1 s value under the lower limit of normal in 13% of cases (p
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