Karabulut Muhammed
Department of Paediatric Cardiology, Clinical of Paediatric Health and Diseases, Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.
Pediatr Int. 2023 Jan-Dec;65(1):e15582. doi: 10.1111/ped.15582.
Pectus anomalies constitute 95% of chest anomalies. Pectus carinatum (PC) and excavatum (PE) are often asymptomatic in childhood. However, symptoms and signs such as chest pain, dyspnea, and mitral valve prolapse (MVP) can be seen in pectus anomalies. Demographic characteristics and accompanying cardiac signs in children with pectus deformity were investigated.
In this study, the clinical findings for children with pectus deformity, and the incidence of MVP and other concomitant heart diseases detected in echocardiographic examinations were evaluated.
Eighty-two children with PE, 27 with PC, and 107 healthy children were included in this study. In the echocardiographic examination of PE, PC patients, and healthy children, MVP was detected with frequencies of 25%, 33%, and 2% respectively.
The study showed that pectus anomalies were associated with an increased incidence of MVP. All patients with pectus deformity should therefore undergo a screening echocardiogram in adolescence to assess for the presence of MVP.
胸壁畸形占胸部畸形的95%。鸡胸（PC）和漏斗胸（PE）在儿童期通常无症状。然而，胸壁畸形可见胸痛、呼吸困难和二尖瓣脱垂（MVP）等症状和体征。对患有胸壁畸形的儿童的人口统计学特征及伴随的心脏体征进行了调查。
在本研究中，评估了胸壁畸形儿童的临床发现，以及在超声心动图检查中检测到的MVP及其他伴随心脏病的发生率。
本研究纳入了82例漏斗胸儿童、27例鸡胸儿童和107例健康儿童。在漏斗胸、鸡胸患者及健康儿童的超声心动图检查中，MVP的检出率分别为25%、33%和2%。
该研究表明胸壁畸形与MVP发生率增加有关。因此，所有胸壁畸形患者在青春期均应接受超声心动图筛查，以评估是否存在MVP。
