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Eur J Pediatr Surg 2018; 28(04): 327-346
DOI: 10.1055/s-0038-1668130
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Cardiopulmonary Function in Thoracic Wall Deformities: What Do We Really Know?

Dawn E. Jaroszewski
1   Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States
,
Cristine S. Velazco
1   Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States
,
Venkata Siva Krishna Kumar Pulivarthi
1   Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, Arizona, United States
,
Reza Arsanjani
2   Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, Arizona, United States
,
Robert J. Obermeyer
3   Department of Pediatric Surgery, Children's Hospital of the King's Daughters, Norfolk, Virginia, United States
› Author Affiliations
Further Information

Publication History

05 July 2018

06 July 2018

Publication Date:
13 August 2018 (online)

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Abstract

Patients with pectus excavatum (PE) frequently present with complaints of exercise intolerance and cardiopulmonary symptoms. There continues to be controversy regarding the physiologic benefits of repair. The aim of this review is to summarize and discuss recent data regarding the cardiopulmonary effects of PE deformity and the evidence for improvement obtained after surgical repair including (1) a greater efficiency of breathing (chest wall mechanics), (2) improvement in pulmonary restrictive deficits, (3) an increase in cardiac chamber size and output, with improved cardiac strain and strain rate, and (4) improvement in exercise capacity.

Keywords

pectus excavatum - Nuss procedure - pulmonary function testing - cardiac imaging - cardiopulmonary exercise testing
 

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