Severe pectus excavatum with tracheal compression presenting with chronic cough
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Donato, Britton B.Linnaus, Maria E.
Velazco, Cristine S.
McMahon, Lisa E.
Towbin, Richard
Notrica, David M.
Affiliation
Univ Arizona, Coll Med PhoenixIssue Date
2018-06
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Donato, B. B., Linnaus, M. E., Velazco, C. S., McMahon, L. E., Towbin, R., & Notrica, D. M. (2018). Severe pectus excavatum with tracheal compression presenting with chronic cough. Journal of Pediatric Surgery Case Reports, 33, 14-16. https://doi.org/10.1016/j.epsc.2018.03.004Rights
© 2018 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
While pectus excavatum is the most common congenital chest wall deformity in children, indications for surgical repair are still debated among experts. Some centers require demonstration of physiologic criteria prior to repair, even in the face of significant anatomic compression. We present a case of a 16-year-old male with severe pectus excavatum who presented with a 3-year history of a chronic barking cough and exercise-induced shortness of breath. Radiographic imaging demonstrated compression of the trachea and bilateral mainstem bronchi secondary to severe pectus excavatum deformity. Despite his severe pectus deformity, preoperative physiologic testing demonstrated normal to near-normal cardiopulmonary function. Minimally invasive repair of the chest wall defect (modified Nuss procedure) provided rapid alleviation of symptoms, and a significant improvement in quality of life.Note
Open access journal.ISSN
22135766Version
Final published versionAdditional Links
http://linkinghub.elsevier.com/retrieve/pii/S221357661830037Xae974a485f413a2113503eed53cd6c53
10.1016/j.epsc.2018.03.004
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Except where otherwise noted, this item's license is described as © 2018 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).