초록접수 현황
| 20F-012 | 구연 발표 |
The effects of Nuss operation on cardiac function in pectus excavatum patients
Duk Hwan Moon¹, Chul Hwan Park², Seung Hwan Song¹, Sungsoo Lee¹
¹Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
²Department of Radiology and Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
Purpose : Surgical correction of pectus excavatum (PE), a common chest wall deformity, has primarily been focused on cosmetic outcome of the chest wall. However, this study focused on cardiac function, comparing between pre-operative and post-operative cardiac indices, using magnetic resonance image (MRI).
Methods : This prospective observational study, conducted between May 2018 and July 2019, included patients undergoing surgical treatment for PE at our institution. The pre- and 3-month post-operative cardiac indices [end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF)] were measured using cardiac MRI.
Results : This study included 12 patients. The average age was 16.9±4.4 years. Nine (75%) were males. The median ESV, and EF values for the right ventricle showed a significant difference between the pre- and post-operative measurements (74.9 mL vs 51.2 mL, p = 0.008; 50.7 % vs 57.7 %, p = 0.006, respectively). Conversely, these values for the left ventricle did not show a statistically significant difference between the pre- and post-operative measurements.
Conclusion : This study supports that surgical treatment for PE may improve right ventricle function, indicating that corrective surgery for PE addresses not only cosmetic concerns, but also contributes to the improvement of cardiac function in PE patients.
Methods : This prospective observational study, conducted between May 2018 and July 2019, included patients undergoing surgical treatment for PE at our institution. The pre- and 3-month post-operative cardiac indices [end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF)] were measured using cardiac MRI.
Results : This study included 12 patients. The average age was 16.9±4.4 years. Nine (75%) were males. The median ESV, and EF values for the right ventricle showed a significant difference between the pre- and post-operative measurements (74.9 mL vs 51.2 mL, p = 0.008; 50.7 % vs 57.7 %, p = 0.006, respectively). Conversely, these values for the left ventricle did not show a statistically significant difference between the pre- and post-operative measurements.
Conclusion : This study supports that surgical treatment for PE may improve right ventricle function, indicating that corrective surgery for PE addresses not only cosmetic concerns, but also contributes to the improvement of cardiac function in PE patients.
책임저자: Sungsoo Lee
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
발표자: Duk Hwan Moon, E-mail : pupupuck@yuhs.ac