Presyncope in a Patient Status Post Pectus Excavatum Repair.

Mikhail CarlowRajeev SeecheranValmiki Seecheran Sangeeta Persad Stanley Lawrence GiddingsSadi RazaTaarik DookieNaveen Anand Seecheran

Published in: International medical case reports journal (2021)

Pectus excavatum (PEX) is an anterior chest wall deformity with sternal depression relative to the costal cartilages. We describe a patient status post remote PEX repair who presented with presyncope attributed to bifascicular block, partial right ventricular outflow tract (RVOT) obstruction, and right coronary artery (RCA) ischemia. Key Clinical Message: The clinician should be cognizant of the hemodynamic impact and electrocardiographic changes in a symptomatic patient status post pectus excavatum repair.

Keyphrases

coronary artery
case report
heart failure
physical activity
sleep quality