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Prime Research on Medicine

ISSN: 2315-5302

Volume 4, Issue 1, pp. 165-169

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Full Length Research

 

 Title

The effects of surgical operation on cardiac functions of people with pectus excavatum who have right ventricular pressure

 

 Author(s)

Derya Çimen1, Murat Öncel2, Derya Arslan3, Güven Sadi Sunam1, and Bülent Oran3

 

 Address(es)

1Selcuk University Faculty of Medicine, Department of Pediatric Cardiology, Konya, Turkey

2Selcuk University Faculty of Medicine, Department of thoracic surgery, Konya, Turkey

3Children Hospital, Department of Pediatric Cardiology, Konya, Turkey

 Accepted Date

26th August, 2015

 

 Citation

Cimen D, Murat O, Arslan D, Guven SS, Oran B (2015). The effects of surgical operation on cardiac functions of people with pectus excavatum who have right ventricular pressure. Prim. Res. Med. 4(1): 165-169

 

 Abstract

The effects of surgical operation on cardiac functions of people with pectus excavatum (PE) who have right ventricular pressure were evaluated with tissue Doppler echocardiography. The study is a prospective one. 19 PE case (4 female, 15 male) were taken into study whose surgical treatments are planned to be done in Selçuk University Medical Faculty Thoracic Department. Patients were evaluated twice, before and after surgery. Data was compared to average of age 25 consistent healthy control group. Systolic and diastolic functions of heart were analyzed as echocardiographic: ejection fraction (EF) from left ventricles M-mode measures, fractional shortening (FS); myocardial early diastolic top velocity (Em), atrial systolic velocity (Am), myocardial systolic velocity (Sm), IVRT (isovolemic relaxation time) from Doppler velocity for left and right ventricle and myocardium performance index( MPI) were evaluated. Average ages of patient and control group are respectively (11.5± 5.5 years) and (9.8±4.3 years). Pectus index of patients were 2.79 to 5.98. MPI (myocardia performance index), which was achieved from Doppler echocardiography for showing systolic and diastolic cardiac functions of patients who have pectus excavatum, was meaningfully recover after surgeon . The MPI of the left ventricle reduced after the operation (0.52 ± 0.17 and 0.42 ± 0.10 respectively). The MPI of the right ventricle reduced after the operation (0.48 ± 0.11and 0.40 ± 0.10 respectively). The rates of improvements were nearly 20% in LV and 17% in RV. It is found in our study that cardiac functions of patients were affected as for control group. These values were observed to recover meaningfully after surgery. For this reason, revising deformity of pectus excavatum is not only important via cosmetic and psychological but also in terms of cardiac.

Key words:
Cardiac functions, pectus excavatum
.

 

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Cimen D

Murat O

Arslan D

Guven SS

Oran B

 

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