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Exercise Performance Testing in Pectus Excavatum Patients

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Chest Wall Deformities

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Abstract

Additionally to esthetic concerns, a large proportion of pectus excavatum patients complain about reduced exercise tolerance. Although some studies demonstrate pathologies in lung function, cardiac ultrasound and performance testing, there seem to be discrepancies between the patients’ subjective description and the results of these investigations. This chapter describes the test modalities and most important parameters for lung function testing (spirometry and body plethysmography) and exercise performance. Data from various studies is presented for patients before and after surgical correction of pectus excavatum.

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References

  1. Koumbourlis AC, Stolar CJ. Lung growth and function in children and adolescents with idiopathic pectus excavatum. Pediatr Pulmonol. 2004;38(4):339–43. Epub 2004/08/31. eng.

    Article  PubMed  Google Scholar 

  2. Quigley PM, Haller Jr JA, Jelus KL, Loughlin GM, Marcus CL. Cardiorespiratory function before and after corrective surgery in pectus excavatum. J Pediatr. 1996;128(5 Pt 1):638–43. Epub 1996/05/01. eng.

    Article  CAS  PubMed  Google Scholar 

  3. Zhao L, Feinberg MS, Gaides M, Ben-Dov I. Why is exercise capacity reduced in subjects with pectus excavatum? J Pediatr. 2000;136(2):163–7. Epub 2000/02/05. eng.

    Article  CAS  PubMed  Google Scholar 

  4. Morshuis W, Folgering H, Barentsz J, van Lier H, Lacquet L. Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest. 1994;105(6):1646–52. Epub 1994/06/01. eng.

    Article  CAS  PubMed  Google Scholar 

  5. Rowland T, Moriarty K, Banever G. Effect of pectus excavatum deformity on cardiorespiratory fitness in adolescent boys. Arch Pediatr Adolesc Med. 2005;159(11):1069–73. Epub 2005/11/09. eng.

    Article  PubMed  Google Scholar 

  6. Tang M, Nielsen HH, Lesbo M, Frokiaer J, Maagaard M, Pilegaard HK, et al. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg. 2012;41(5):1063–7.

    Article  PubMed  Google Scholar 

  7. Lawson ML, Mellins RB, Tabangin M, Kelly Jr RE, Croitoru DP, Goretsky MJ, et al. Impact of pectus excavatum on pulmonary function before and after repair with the Nuss procedure. J Pediatr Surg. 2005;40(1):174–80. Epub 2005/05/04. eng.

    Article  PubMed  Google Scholar 

  8. Malek MH, Fonkalsrud EW, Cooper CB. Ventilatory and cardiovascular responses to exercise in patients with pectus excavatum. Chest. 2003;124(3):870–82. Epub 2003/09/13. eng.

    Article  PubMed  Google Scholar 

  9. Sigalet DL, Montgomery M, Harder J, Wong V, Kravarusic D, Alassiri A. Long term cardiopulmonary effects of closed repair of pectus excavatum. Pediatr Surg Int. 2007;23(5):493–7. Epub 2007/01/26. eng.

    Article  PubMed  Google Scholar 

  10. Castellani C, Windhaber J, Schober PH, Hoellwarth ME. Exercise performance testing in patients with pectus excavatum before and after Nuss procedure. Pediatr Surg Int. 2010;26(7):659–63.

    Article  PubMed  Google Scholar 

  11. Kelly Jr RE, Shamberger RC, Mellins RB, Mitchell KK, Lawson ML, Oldham K, et al. Prospective multicenter study of surgical correction of pectus excavatum: design, perioperative complications, pain, and baseline pulmonary function facilitated by internet-based data collection. J Am Coll Surg. 2007;205(2):205–16. Epub 2007/07/31. eng.

    Article  PubMed  Google Scholar 

  12. Kubiak R, Habelt S, Hammer J, Häcker FM, Mayr J, Bielek J. Pulmonary function following completion of minimally invasive repair for pectus excavatum (MIRPE). Eur J Pediatr Surg. 2007;17:255–60.

    Article  CAS  PubMed  Google Scholar 

  13. Jiang X, Hu T, Liu W, Wei F, Yuan Y, Feng J. Pulmonary function changes following surgical correction for pectus excavatum. Chin Med J (Engl). 2000;113(3):206–9.

    CAS  Google Scholar 

  14. Lawson ML, Mellins RB, Paulson JF, Shamberger RC, Oldham K, Azizkhan RG, et al. Increasing severity of pectus excavatum is associated with reduced pulmonary function. J Pediatr. 2011;159(2):256–61. e2.

    Article  PubMed  Google Scholar 

  15. Aronson DC, Bosgraaf RP, Merz E, Van Steenwijk RP, Van Aslderen WMC, Van Baren R. Lung function after the minimal invasive pectus excavatum repair (Nuss procedure). World J Surg. 2007;31:1518–22.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Bawazir OA, Montgomery M, Harder J, Sigalet DL. Midterm evaluation of cardiopulmonary effects of closed repair for pectus excavatum. J Pediatr Surg. 2005;40(5):863–7. Epub 2005/06/07. eng.

    Article  PubMed  Google Scholar 

  17. Kowalewski J, Barcikowski S, Brocki M. Cardiorespiratory function before and after operation for pectus excavatum: medium-term results. Eur J Cardiothorac Surg. 1998;13(3):275–9.

    Article  CAS  PubMed  Google Scholar 

  18. Sigalet DL, Montgomery M, Harder J. Cardiopulmonary effects of closed repair of pectus excavatum. J Pediatr Surg. 2003;38(3):380–5; discussion −5. Epub 2003/03/13. eng.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric and Adolescent Surgery, Medical University Graz, Graz, Austria

    Christoph Castellani MD, Jana Windhaber MD & Peter H. Schober MD

Authors
  1. Christoph Castellani MD
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  2. Jana Windhaber MD
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  3. Peter H. Schober MD
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Corresponding author

Correspondence to Christoph Castellani MD .

Editor information

Editors and Affiliations

  1. Consultant Pediatric Surgeon Chelsea Children’s Hospital, Chelsea and Westminster Hospital NHS Foundation Trust Imperial College London, London, United Kingdom

    Amulya K. Saxena

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Castellani, C., Windhaber, J., Schober, P.H. (2017). Exercise Performance Testing in Pectus Excavatum Patients. In: Saxena, A. (eds) Chest Wall Deformities. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53088-7_19

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  • DOI: https://doi.org/10.1007/978-3-662-53088-7_19

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53086-3

  • Online ISBN: 978-3-662-53088-7

  • eBook Packages: MedicineMedicine (R0)

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