Cardiopulmonary Outcomes After the Nuss Procedure in Pectus Excavatum

Background Pectus excavatum is the most common chest wall deformity. There is still controversy about cardiopulmonary limitations of this disease and benefits of surgical repair. This study evaluates the impact of pectus excavatum on the cardiopulmonary function of adult patients before and after a...

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Bibliographic Details
Published in:Journal of the American Heart Association 2022-04, Vol.11 (7), p.e022149-e022149
Main Authors: Jaroszewski, Dawn E, Farina, Juan M, Gotway, Michael B, Stearns, Joshua D, Peterson, Michelle A, Pulivarthi, Venkata S K K, Bostoros, Peter, Abdelrazek, Ahmad S, Gotimukul, Ashwini, Majdalany, David S, Wheatley-Guy, Courtney M, Arsanjani, Reza
Format: Article
Language:English
Subjects:
Adolescent
Adult
cardiothoracic surgery
echocardiography
exercise testing
Female
Funnel Chest - surgery
Humans
Lung
Male
Original Research
pectus excavatum
Postoperative Period
Retrospective Studies
Treatment Outcome
Young Adult
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Summary:Background Pectus excavatum is the most common chest wall deformity. There is still controversy about cardiopulmonary limitations of this disease and benefits of surgical repair. This study evaluates the impact of pectus excavatum on the cardiopulmonary function of adult patients before and after a modified minimally invasive repair. Methods and Results In this retrospective cohort study, an electronic database was used to identify consecutive adult (aged ≥18 years) patients who underwent cardiopulmonary exercise testing before and after primary pectus excavatum repair at Mayo Clinic Arizona from 2011 to 2020. In total, 392 patients underwent preoperative cardiopulmonary exercise testing; abnormal oxygen consumption results were present in 68% of patients. Among them, 130 patients (68% men, mean age, 32.4±10.0 years) had post-repair evaluations. Post-repair tests were performed immediately before bar removal with a mean time between repair and post-repair testing of 3.4±0.7 years (range, 2.5-7.0). A significant improvement in cardiopulmonary outcomes (
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.121.022149