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- W2124498714 abstract "1. Pectus excavatum is a congenital thoracic deformity which, in moderate and severe cases, may result in profound disturbances of cardiorespiratory physiology. 2. The radiographs of the chest in this condition indicate cardiac displacement, impingement, and rotation. 3. The electrocardiographic and vectorcardiographic findings are the result of cardiac rotation and do not reveal any evidence of intraventricular conduction defect or myocardial damage. The rSr′ or rSR′ pattern observed in V1 is a variation of normal and does not indicate incomplete right bundle branch block. 4. Cardiac catheterization in one of the symptomatic adults was of great interest in that a normal cardiac output was observed at rest. After ten minutes of standard exercise, a definite fall in cardiac output was recorded, with only a minimal rise in pulmonary artery pressure. 5. The mechanisms responsible for cardiac disability in this condition are thought to result from a. a decreased return of blood to the right heart, b. cardiac arrhythmias secondary to atrial impingement, c. restriction of expansion of the heart, and d. a decrease in respiratory reserve. 6. This deformity can be corrected satisfactorily by operation with good physiologic and cosmetic results." @default.
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- W2124498714 date "1956-07-01" @default.
- W2124498714 modified "2023-09-27" @default.
- W2124498714 title "The relation of pectus excavatum to heart disease" @default.
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- W2124498714 doi "https://doi.org/10.1016/0002-8703(56)90122-3" @default.
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