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심한 오목가슴 환자에서 우심실 눌림에 의한 심장 카켁시아

Cardiac Cachexia Caused by Right Ventricular Outflow Tract Obstruction in a Patient With Severe Pectus Excavatum

  • 임선미 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 전현지 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 김수정 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 장경윤 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 최규영 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 김재형 (가톨릭대학교 의과대학 성바오로병원 순환기내과) ;
  • 조은주 (가톨릭대학교 의과대학 성바오로병원 순환기내과)
  • Yim, Sun Mie (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Chun, Hyun Ji (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Kim, Su Jung (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Chang, Kyung Yoon (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Choi, Kyu Young (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Kim, Jae Hyung (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin) ;
  • Cho, Eun Joo (Division of Cardiology, Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicin)
  • 발행 : 2012.11.01

초록

External compression of the right ventricle (RV) due to a depressed sternum in patients with pectus excavatum is uncommon. Moreover, mid-RV obstruction-induced cachexia rarely occurs in patients with pectus excavatum. We report a case of cardiac cachexia caused by significant RV compression in a patient with pectus excavatum.

키워드

참고문헌

  1. Jaroszewski D, Notrica D, McMahon L, Steidley DE, Deschamps C. Current management of pectus excavatum: a review and update of therapy and treatment recommendations. J Am Board Fam Med 2010;23:230-239. https://doi.org/10.3122/jabfm.2010.02.090234
  2. Fonkalsrud EW. Current management of pectus excavatum. World J Surg 2003;27:502-508. https://doi.org/10.1007/s00268-003-7025-5
  3. Anker SD, Sharma R. The syndrome of cardiac cachexia. Int J Cardiol 2002;85:51-66. https://doi.org/10.1016/S0167-5273(02)00233-4
  4. Ravitch M. Pectus excavatum and heart failure. Surgery 1951;30:178-182.
  5. Mocchegiani R, Badano L, Lestuzzi C, Nicolosi GL, Zanuttini D. Relation of right ventricular morphology and function in pectus excavatum to the severity of the chest wall deformity. Am J Cardiol 1995;76:941-946. https://doi.org/10.1016/S0002-9149(99)80266-5

피인용 문헌

  1. Incremental value of three-dimensional transthoracic echocardiography over the two-dimensional modality in the assessment of right heart compression and dysfunction produced by pectus excavatum vol.36, pp.1, 2012, https://doi.org/10.1111/echo.14230