Open AccessPresyncope in a Patient Status Post Pectus Excavatum Repair
Author(s) -
Mikhail Carlow,
Rajeev Seecheran,
Valmiki Seecheran,
Sangeeta Persad,
Stanley Giddings,
Sadi Raza,
Taarik Dookie,
Naveen Seecheran
Publication year - 2021
Publication title -
international medical case reports journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s315868
Subject(s) - pectus excavatum , presyncope , medicine , deformity , cardiology , surgery , heart rate , blood pressure
Pectus excavatum (PEX) is an anterior chest wall deformity with sternal depression relative to the costal cartilages. We describe a patient status post remote PEX repair who presented with presyncope attributed to bifascicular block, partial right ventricular outflow tract (RVOT) obstruction, and right coronary artery (RCA) ischemia. Key Clinical Message: The clinician should be cognizant of the hemodynamic impact and electrocardiographic changes in a symptomatic patient status post pectus excavatum repair.