Pectus excavatum - Chest clogged - Signs and symptoms

Most cases of pectus excavatum are seen at birth with progressive aggravation of child development. Over 80% of cases are identified in the first two years of life. The condition becomes more pronounced at puberty, during rapid growth of bones and cartilage.Most patients are brought to the doctor during adolescence due to significant change in the appearance of the chest.Excavatum petus Some patients experience painful musculoskeletal chest or back home. The exact cause of pain is not understood. Pectus excavatum and pectus carinatum are often associated with scoliosis. Although this association is accidental, SHOOTING position deformities seen in many patients with chest pain may be due to development.
Pulmonary Function:Many doctors attribute of pectus excavatum affecting symptomatic decrease intrathoracic volume secondary stuffy chest. However, this cause-effect relationship is difficult to prove due to variation of respiratory function among healthy individuals. There are tests that show shortness of breath in patients with pectus excavatum effort, due to lower pulmonary reserve. It was noted that many patients become symptomatic in adolescence. Patients under 10 years with pectus excavatum no symptoms related to shortness of breath blame.
Cardiac function:Clogged heart may be deformed sternum posterior to anterior indentation of the right ventricle. Pathological studies show this Special discovery. Angiographic studies demonstrate fingerprinting chest on right ventricular anterior wall. Some studies have shown cardiac stroke volume limitation in these patients, especially in the upright position. The supine is not obvious any significant damage to the heart. Repair of heart defect leads to the normalization function.
Physical Exam:The condition is recognized by the appearance of the chest.Defect severity can vary widely and chest asymmetry. Patients may experience a mild form of pectus excavatum or sternum can almost touch their spine. Usually the lower third of the sternum and the top is affected may appear normal. A lower ribs swell prior compensation is common. Many people associate scoliosis, which is not directly related to pectus excavatum.
Listening to the chest: heart sounds are typically displaced to the left because of the position and rotation of his heart. A click of mitral valve prolapse may be present. Lung sounds are normal, but decreased at both bases due to lower respiratory volumes.
Chest posture: the term refers to the position adopted by the majority of pectus excavatum apacientilor significant. They seem to create an anterior thoracic spine like disease shoulders pointing forward. If this is a deflection maneuver to hide the unconscious or a position directly related to the defect condition is unclear. Such positions of pectus excavatum column seem to increase and may lead to spinal problems associated with improper posture and support the spine TROUBLE. Correct posture is difficult, even in pectus excavatum repair successfully.
Disease progression:Many patients with pectus excavatum are asymptomatic in terms of functionality. The degree of damage caused by compression cardiopulmonary Displacement of heart and lung are still subjects of debate. Exercise tolerance is frequently reported as abnormal, and a restrictive respiratory function tests in severe cases can be identified. Fucntia heart is usually normal, but mitral valve prolapse reported 20-60% of cases. Echocardiography usually show a degree of cardiac compression. Rarely mitral or tricuspid regurgitation may look. Echocardiographic analysis of cardiac index showed improvement after the repair defect. Long-term health risks controlled patients without surgery is unknown.