Multimodality imaging in cardiac arrest secondary to severe pectus excavatum and aortic regurgitation: case report
DOI:
https://doi.org/10.37615/retic.v9n1a10Keywords:
pectus excavatum, aortic valve insufficiency, cardiac arrest, case reportAbstract
Pectus excavatum is the most common congenital deformity of the chest cavity. In severe cases, it can compress the heart chambers and cause serious complications. We present the case of a 44-year-old man who was resuscitated from cardiac arrest in which severe pectus excavatum coexisted with severe aortic insufficiency. Imaging studies showed that the heart was markedly displaced to the left hemithorax and that there was a narrowing with kinking of the origin of the right coronary artery. It also allowed to quantify the severity of the aortic insufficiency. In this case, multimodal cardiac imaging was essential for identifying the impact of pectus excavatum and aortic insufficiency on cardiac structure and function, which made it possible to establish the pathophysiological mechanism of cardiac arrest and guide clinical management.
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Acipayam A, Güllü UU, Güngör Ş. Cardiac anomalies in pediatric patients with pectus excavatum. Rev Assoc Med Bras. 2023;69(7):e20221301. http://dx.doi.org/10.1590/1806-9282.20221301
Jaroszewski DE, Fonkalsrud EW. Repair of pectus chest deformities in 320 adult patients: 21 year experience. Ann Thorac Surg. 2007;84(2):429-33. http://dx.doi.org/10.1016/j.athoracsur.2007.03.077
Sonaglioni A, Nicolosi GL, Trevisan R, Lombardo M, Grasso E, Gensini GF, et al. The influence of pectus excavatum on cardiac kinetics and function in otherwise healthy individuals: A systematic review. Int J Cardiol. 2023;381:135-44. http://dx.doi.org/10.1016/j.ijcard.2023.03.058
Awad SFM, Barbosa-Barros R, Belem L de S, Cavalcante CP, Riera ARP, Garcia-Niebla J, et al. Brugada phenocopy in a patient with pectus excavatum: systematic review of the ECG manifestations associated with pectus excavatum. Ann Noninvasive Electrocardiol. 2013;18(5):415-20. http://dx.doi.org/10.1111/anec.12082
Ravasin A, Viggiano D, Tombelli S, Checchi L, Stefàno P, Voltolini L, et al. Heart disease and pectus excavatum: An underestimated issue-single center experience and literature review. Life (Basel). 2024;14(12):1643. http://dx.doi.org/10.3390/life14121643
Moossdorff M, Maesen B, den Uijl DW, Lenderink T, Franssen FAR, Vissers YLJ, et al. Case report: ventricular fibrillation and cardiac arrest provoked by forward bending in adolescent with severe pectus excavatum. Eur Heart J Case Rep. 2021;5(10):ytab373. http://dx.doi.org/10.1093/ehjcr/ytab373
Pimenta J, Vieira A, Henriques-Coelho T. Ventricular arrhythmia solved by surgical correction of pectus excavatum. Interact Cardiovasc Thorac Surg. 2018;26(4):706-8. http://dx.doi.org/10.1093/icvts/ivx397
Checchi L, Perrotta L, Ricciardi G, Colella A, Bambagioni G, Ciliberti D, et al. S-ICD implantation in secondary prevention in a young patient with recent surgically repaired pectus excavatum. JACC. Case Rep. 2024;29(5), 102231. https://doi.org/10.1016/j.jaccas.2024.102231
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Copyright (c) 2026 María Noelia Pizá, Lucía Fernández Gassó

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