Key result
Surgical correction of pectus excavatum eliminates exercise-provoked VT across 3-year follow-up in a case report.
Why the study?
Although pectus excavatum has been associated with supraventricular dysrhythmias, documented ventricular tachycardia had only been reported once previously.
Case Report (n=1)
Surgical repair of pectus excavatum alone can resolve exercise-induced ventricular tachycardia caused by extrinsic right ventricular compression, avoiding the need for antiarrhythmic drugs or ablation.
Answers are grounded in this paper and cite their sources.
Should not yet change practice for exercise-provoked VT in pectus excavatum; leaves open efficacy of isolated surgical correction.
We report a case of pectus excavatum associated with ventricular tachycardia provoked by exercise in a 19-year-old man. Although this chest deformity has been associated with supraventricular dysrhythmias, documented ventricular tachycardia has only been reported once. Our patient's ventricular dysrhythmia was treated by surgical correction of his pectus excavatum only, and at 3 years follow-up he has had no recurrence of his ventricular tachycardia.
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Hak et al. (2013) conducted a case report in Pectus excavatum with exercise-provoked ventricular tachycardia (n=1). Surgical correction of pectus excavatum was evaluated on Recurrence of ventricular tachycardia. Surgical correction of pectus excavatum alone resulted in 0% recurrence of exercise-provoked ventricular tachycardia over 3 years of follow-up in a 19-year-old man.
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