What are the possible cardiopulmonary complications of pectus excavatum?

Updated: Oct 30, 2018
  • Author: Andre Hebra, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Answer

Many patients with pectus excavatum are asymptomatic from a functional standpoint. The degree of cardiopulmonary impairment caused by lung compression and the level of cardiac displacement that results from the caved-in chest are subjects of controversy. Exercise tolerance is frequently reported as abnormal, and a restrictive pattern in pulmonary function test can be identified in severe cases. Cardiac function is usually normal, but mitral valve prolapse has been reported in 20-60% of cases. Echocardiography typically reveals some degree of atrial compression and cardiac displacement. Rarely, it may reveal mitral or tricuspid regurgitation. Echocardiographic analysis has demonstrated improved cardiac index upon exertion after operative repair of the deformity. The long-term health risks of patients who are managed without surgery are not known.


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