HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kowalewski, J. Articles by Koktysz, R. Search for Related Content PubMed PubMed Citation Articles by Kowalewski, J. Articles by Koktysz, R.

J Thorac Cardiovasc Surg 1999;118:87-93
© 1999 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

PECTUS EXCAVATUM: INCREASE OF RIGHT VENTRICULAR SYSTOLIC, DIASTOLIC, AND STROKE VOLUMES AFTER SURGICAL REPAIR

Janusz Kowalewski, MD^a, Marian Brocki, MD, PhD^a, Tadeusz Dryjanski, MD^b, Krystian Zolyski, MD, PhD ^c, Robert Koktysz, MD^d

From The First Department of General Surgery,^a Department of Cardiology,^b Department of Orthopedic and Field Surgery, ^c and Department of Patomorphology,^d The Military Medical Academy, Lodz, Poland.

Address for reprints: Janusz Kowalewski, MD, ul. Lisciasta 52/20, 91-357 Lodz, Poland.

Objective: The study was undertaken to assess how a surgical correction of funnel chest modifies right ventricular structure and function. Methods: Before and 6 months after surgery in 42 patients (27 male and 15 female patients, aged 5-31 years), a pectus index was calculated and echocardiographic examinations of the right ventricle were performed, with calculation of systolic, diastolic, and stroke volume indices. Right ventricular volume was estimated by subtracting the left ventricular volume from that of the entire heart. The values of the right ventricular volumes and the pectus index before and after the operation, as well as the changes in the indices, were compared.
Results: Statistically significant changes in the pectus index and the right ventricular volume indices after surgery were noted. No correlation was observed between the changes in the pectus index and the changes in any right ventricular volume indices.
Conclusion: Surgical treatment of funnel chest causes an increase in right ventricular systolic, diastolic, and stroke volumes, although there is no correlation between these changes and the degree of sternocostal elevation.

This article has been cited by other articles:

				D. E. Jaroszewski and E. W. Fonkalsrud Repair of Pectus Chest Deformities in 320 Adult Patients: 21 Year Experience Ann. Thorac. Surg., August 1, 2007; 84(2): 429 - 433. [Abstract] [Full Text] [PDF]

				M. H. Malek, D. E. Berger, W. D. Marelich, J. W. Coburn, T. W. Beck, and T. J. Housh Pulmonary function following surgical repair of pectus excavatum: a meta-analysis. Eur. J. Cardiothorac. Surg., October 1, 2006; 30(4): 637 - 643. [Abstract] [Full Text] [PDF]

				J. Schalamon, S. Pokall, J. Windhaber, and M. E. Hoellwarth Minimally invasive correction of pectus excavatum in adult patients. J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 524 - 529. [Abstract] [Full Text] [PDF]

				H. Iida, Y. Sudo, Y. Yamada, Y. Matsushita, K. Eda, and Y. Inoue Nonprosthetic Surgical Repair of Pectus Excavatum Ann. Thorac. Surg., August 1, 2006; 82(2): 451 - 456. [Abstract] [Full Text] [PDF]

				M. H. Malek, D. E. Berger, T. J. Housh, W. D. Marelich, J. W. Coburn, and T. W. Beck Cardiovascular function following surgical repair of pectus excavatum: a metaanalysis. Chest, August 1, 2006; 130(2): 506 - 516. [Abstract] [Full Text] [PDF]

				J. F. Bruzzi, M. Remy-Jardin, D. Delhaye, A. Teisseire, C. Khalil, and J. Remy When, Why, and How to Examine the Heart During Thoracic CT: Part 2, Clinical Applications Am. J. Roentgenol., February 1, 2006; 186(2): 333 - 341. [Abstract] [Full Text] [PDF]

				T. Rowland, K. Moriarty, and G. Banever Effect of Pectus Excavatum Deformity on Cardiorespiratory Fitness in Adolescent Boys Arch Pediatr Adolesc Med, November 1, 2005; 159(11): 1069 - 1073. [Abstract] [Full Text] [PDF]

				M. H. Malek, E. W. Fonkalsrud, and C. B. Cooper Ventilatory and Cardiovascular Responses to Exercise in Patients With Pectus Excavatum Chest, September 1, 2003; 124(3): 870 - 882. [Abstract] [Full Text] [PDF]

				K. A. Mansour, V. H. Thourani, E. A. Odessey, M. M. Durham, J. I. Miller Jr, and D. L. Miller Thirty-year experience with repair of pectus deformities in adults Ann. Thorac. Surg., August 1, 2003; 76(2): 391 - 395. [Abstract] [Full Text] [PDF]

				T. Hasegawa, M. Yamaguchi, Y. Ohshima, N. Yoshimura, S. Oka, and Y. Ootaki Simultaneous repair of pectus excavatum and congenital heart disease over the past 30 years Eur. J. Cardiothorac. Surg., December 1, 2002; 22(6): 874 - 878. [Abstract] [Full Text] [PDF]

				A. Erdogan, A. Ayten, N. Oz, and A. Demircan Early and Long-Term Results of Surgical Repair of Pectus Excavatum Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 39 - 42. [Abstract] [Full Text] [PDF]