Presyncope in a Patient Status Post Pectus Excavatum Repair

Pectus excavatum (PEX) is an anterior chest wall deformity with sternal depression relative to the costal cartilages. We describe a patient status post remote PEX repair who presented with presyncope attributed to bifascicular block, partial right ventricular outflow tract (RVOT) obstruction, and ri...

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Detalles Bibliográficos
Autores principales: Carlow, Mikhail, Seecheran, Rajeev, Seecheran, Valmiki, Persad, Sangeeta, Giddings, Stanley, Raza, Sadi, Dookie, Taarik, Seecheran, Naveen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8197592/
https://www.ncbi.nlm.nih.gov/pubmed/34135644
http://dx.doi.org/10.2147/IMCRJ.S315868
Descripción
Sumario:Pectus excavatum (PEX) is an anterior chest wall deformity with sternal depression relative to the costal cartilages. We describe a patient status post remote PEX repair who presented with presyncope attributed to bifascicular block, partial right ventricular outflow tract (RVOT) obstruction, and right coronary artery (RCA) ischemia. Key Clinical Message: The clinician should be cognizant of the hemodynamic impact and electrocardiographic changes in a symptomatic patient status post pectus excavatum repair.

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