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dc.contributor.author
Deviggiano, Alejandro
dc.contributor.author
Carrascosa, Patricia
dc.contributor.author
Vallejos, Javier
dc.contributor.author
Bellia Munzon, Gaston
dc.contributor.author
Vina, Natalia
dc.contributor.author
Rodriguez Granillo, Gaston Alfredo
dc.contributor.author
Martínez Ferro, Marcelo
dc.date.available
2022-06-29T14:08:50Z
dc.date.issued
2018-11
dc.identifier.citation
Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-2298
dc.identifier.issn
0022-3468
dc.identifier.uri
http://hdl.handle.net/11336/160746
dc.description.abstract
Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
W B Saunders Co-Elsevier Inc
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
CARDIAC MAGNETIC RESONANCE
dc.subject
CHEST WALL INDEXES
dc.subject
COMPUTED TOMOGRAPHY
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PECTUS EXCAVATUM
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RIGHT VENTRICLE COMPRESSION
dc.subject.classification
Sistemas Cardíaco y Cardiovascular
dc.subject.classification
Medicina Clínica
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-06-21T19:29:44Z
dc.journal.volume
53
dc.journal.number
11
dc.journal.pagination
2294-2298
dc.journal.pais
Estados Unidos
dc.journal.ciudad
Philadelphia
dc.description.fil
Fil: Deviggiano, Alejandro. No especifíca;
dc.description.fil
Fil: Carrascosa, Patricia. No especifíca;
dc.description.fil
Fil: Vallejos, Javier. No especifíca;
dc.description.fil
Fil: Bellia Munzon, Gaston. No especifíca;
dc.description.fil
Fil: Vina, Natalia. No especifíca;
dc.description.fil
Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; Argentina
dc.description.fil
Fil: Martínez Ferro, Marcelo. No especifíca;
dc.journal.title
Journal Of Pediatric Surgery
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0022346818303634
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.jpedsurg.2018.05.015
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