Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum

Autores
Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; Rodriguez Granillo, Gaston Alfredo; Martínez Ferro, Marcelo
Año de publicación
2018
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.
Fil: Deviggiano, Alejandro. No especifíca;
Fil: Carrascosa, Patricia. No especifíca;
Fil: Vallejos, Javier. No especifíca;
Fil: Bellia Munzon, Gaston. No especifíca;
Fil: Vina, Natalia. No especifíca;
Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; Argentina
Fil: Martínez Ferro, Marcelo. No especifíca;
Materia
CARDIAC MAGNETIC RESONANCE
CHEST WALL INDEXES
COMPUTED TOMOGRAPHY
PECTUS EXCAVATUM
RIGHT VENTRICLE COMPRESSION
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/160746

id CONICETDig_63db8dc1ae9fe1bc77c8a6a105a6da27
oai_identifier_str oai:ri.conicet.gov.ar:11336/160746
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatumDeviggiano, AlejandroCarrascosa, PatriciaVallejos, JavierBellia Munzon, GastonVina, NataliaRodriguez Granillo, Gaston AlfredoMartínez Ferro, MarceloCARDIAC MAGNETIC RESONANCECHEST WALL INDEXESCOMPUTED TOMOGRAPHYPECTUS EXCAVATUMRIGHT VENTRICLE COMPRESSIONhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.Fil: Deviggiano, Alejandro. No especifíca;Fil: Carrascosa, Patricia. No especifíca;Fil: Vallejos, Javier. No especifíca;Fil: Bellia Munzon, Gaston. No especifíca;Fil: Vina, Natalia. No especifíca;Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; ArgentinaFil: Martínez Ferro, Marcelo. No especifíca;W B Saunders Co-Elsevier Inc2018-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/160746Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-22980022-3468CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0022346818303634info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jpedsurg.2018.05.015info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:32:43Zoai:ri.conicet.gov.ar:11336/160746instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:32:43.967CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
title Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
spellingShingle Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
Deviggiano, Alejandro
CARDIAC MAGNETIC RESONANCE
CHEST WALL INDEXES
COMPUTED TOMOGRAPHY
PECTUS EXCAVATUM
RIGHT VENTRICLE COMPRESSION
title_short Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
title_full Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
title_fullStr Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
title_full_unstemmed Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
title_sort Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum
dc.creator.none.fl_str_mv Deviggiano, Alejandro
Carrascosa, Patricia
Vallejos, Javier
Bellia Munzon, Gaston
Vina, Natalia
Rodriguez Granillo, Gaston Alfredo
Martínez Ferro, Marcelo
author Deviggiano, Alejandro
author_facet Deviggiano, Alejandro
Carrascosa, Patricia
Vallejos, Javier
Bellia Munzon, Gaston
Vina, Natalia
Rodriguez Granillo, Gaston Alfredo
Martínez Ferro, Marcelo
author_role author
author2 Carrascosa, Patricia
Vallejos, Javier
Bellia Munzon, Gaston
Vina, Natalia
Rodriguez Granillo, Gaston Alfredo
Martínez Ferro, Marcelo
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv CARDIAC MAGNETIC RESONANCE
CHEST WALL INDEXES
COMPUTED TOMOGRAPHY
PECTUS EXCAVATUM
RIGHT VENTRICLE COMPRESSION
topic CARDIAC MAGNETIC RESONANCE
CHEST WALL INDEXES
COMPUTED TOMOGRAPHY
PECTUS EXCAVATUM
RIGHT VENTRICLE COMPRESSION
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.
Fil: Deviggiano, Alejandro. No especifíca;
Fil: Carrascosa, Patricia. No especifíca;
Fil: Vallejos, Javier. No especifíca;
Fil: Bellia Munzon, Gaston. No especifíca;
Fil: Vina, Natalia. No especifíca;
Fil: Rodriguez Granillo, Gaston Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Cardiológicas. Universidad de Buenos Aires. Facultad de Medicina. Instituto de Investigaciones Cardiológicas; Argentina
Fil: Martínez Ferro, Marcelo. No especifíca;
description Background/purpose: In pectus excavatum (PE) patients owing to the location of the heart in the chest cavity, the most affected site of compression by the depressed chest wall is the right heart, and surgical repair has shown to provide a significant relief in the RH cavities compression. Our aim was to explore the relationship between the site of right cardiac compression, chest wall indexes (CT-CWI) and the sternal torsion angle (STA) based on cardiac magnetic resonance (CMR) and computed tomography (CT) among PE patients. Methods: We included PE patients with no previous surgical correction referred to CMR and chest CT imaging as presurgical evaluations. The following CT-CWI were calculated: Haller Index (HI), correction index (CI) and STA. A CMR compression classification (CMR-CC) was implemented based on the analysis (in the horizontal long axis plane at end of diastole) of the right cardiac compression site, caused by the thoracic cage (sternum/ribs): Type 0 (T0): absence of cardiac compression; Type 1 (T1): compression of the lateral wall of the right ventricle (RV) without involvement of the atrioventricular (AV) groove; Type 2 (T2): compression of the RV involving the AV groove. Results: Sixty PE patients underwent CMR and chest CT. Fifty (81%) patients were male, and the median age was 17.5 (14.0; 23.0) years. T0, T1 and T2 were found in 14 (23%), 27 (45%) and 19 (32%) patients. There were significant differences between types with regard to the HI (T0 3.9 ± 1.1, T1 4.8 ± 2.0, T2 6.4 ± 3.1, p < 0.009) and to the CI (T0 22.1 ± 10.4%, T1 31.6 ± 16.1%, T2 46.9 ± 16.3% p < 0.0001) and STA (T0 9.1 ± 7.9°, T1 12.7 ± 10.3°, class T2 23.0 ± 13.6°p = 0.001) respectively. Conclusion: In this study, we established a cardiac magnetic resonance compression classification of patients with pectus excavatum comprising a simple discrimination of cardiac compression sites, which were related to chest wall indexes.
publishDate 2018
dc.date.none.fl_str_mv 2018-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/160746
Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-2298
0022-3468
CONICET Digital
CONICET
url http://hdl.handle.net/11336/160746
identifier_str_mv Deviggiano, Alejandro; Carrascosa, Patricia; Vallejos, Javier; Bellia Munzon, Gaston; Vina, Natalia; et al.; Relationship between cardiac MR compression classification and CT chest wall indexes in patients with pectus excavatum; W B Saunders Co-Elsevier Inc; Journal Of Pediatric Surgery; 53; 11; 11-2018; 2294-2298
0022-3468
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0022346818303634
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.jpedsurg.2018.05.015
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv W B Saunders Co-Elsevier Inc
publisher.none.fl_str_mv W B Saunders Co-Elsevier Inc
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1844613000154054656
score 13.070432