Carlow M, Seecheran R, Seecheran V, Persad S, Giddings S, Raza S, Dookie T, Seecheran N. Presyncope in a Patient Status Post Pectus Excavatum Repair.
Int Med Case Rep J 2021;
14:385-391. [PMID:
34135644 PMCID:
PMC8197592 DOI:
10.2147/imcrj.s315868]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 05/22/2021] [Indexed: 11/23/2022] Open
Abstract
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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