Journal of the Practice of Cardiovascular Sciences

CURRICULUM IN CARDIOLOGY - IMAGES
Year
: 2017  |  Volume : 3  |  Issue : 2  |  Page : 118--119

Pectus carinatum (Pigeon Chest)


Madhav Bhargava1, Raghav Bhargava2,  
1 PG Registrar Internal Medicine, Aster Medcity, Kochi, IN 682027, India
2 Department of Medicine, Glan Clwyd Hospital, Bodelwyddan, Wales, UK

Correspondence Address:
Raghav Bhargava
Department of Medicine, Glan Clwyd Hospital, Bodelwyddan, Wales
UK




How to cite this article:
Bhargava M, Bhargava R. Pectus carinatum (Pigeon Chest).J Pract Cardiovasc Sci 2017;3:118-119


How to cite this URL:
Bhargava M, Bhargava R. Pectus carinatum (Pigeon Chest). J Pract Cardiovasc Sci [serial online] 2017 [cited 2019 Sep 18 ];3:118-119
Available from: http://www.j-pcs.org/text.asp?2017/3/2/118/218809


Full Text



A 16-year-old boy presented with progressive shortness of breath on exertion (New York Heart Association class II) for 1 year. He said that there was no fever, chest pain, cough, palpitations, syncope, or any physical trauma. He had no significant medical history. He also has no significant family medical/surgical history. Inspection of the chest showed marked chest wall deformity[Figure 1] and [Figure 2], remainder of the physical examination was unremarkable. The chest X-ray showed hyperinflated lungs; [Figure 3] anterior protrusion of the sternum and ribs [Figure 4]. His electrocardiogram [Figure 5] showed the right atrial enlargement and biventricular hypertrophy. However, his echocardiogram did not reveal any chamber hypertrophy or valve abnormality, and a normal ejection fraction. This false hypertrophy on the electrocardiogram was due to the chest wall deformity. Pectus carinatum is a deformity of the chest wall characterized by anterior protrusion of the sternum and ribs. Males are more commonly affected than females. Pubertal males are the most common affected patient group, as in this case. Causes are idiopathic, trauma, following open heart surgery, and excessive structural abnormalities of cartilage. It is also associated with several syndromes. There are various orthotic and surgical procedures to correct the deformity. Treatment included referral to thoracic surgeons, who advised routine follow-up and consideration of surgery if the symptoms worsened. On follow-up at 6 months, he is relatively asymptomatic.{Figure 1}{Figure 2}{Figure 3}{Figure 4}{Figure 5}

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