Background: Right ventricular failure (RVF) is a significant
cause of morbidity and mortality in patients with a left ventricular assist
device (LVAD). This study is aimed to investigate the influence of a pectus
excavatum on early and late outcomes, specifically RVF, following LVAD
implantation. Methods: A retrospective study was performed,
that included patients with a HeartMate 3 LVAD at our tertiary referral center.
The Haller index (HI) was calculated using computed tomography (CT) scan to
evaluate the chest-wall dimensions. Results: In total, 80 patients
(median age 57 years) were included. Two cohorts were identified: 28 patients
(35%) with a normal chest wall (HI
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Open Access
Original Research
Pectus Excavatum and Risk of Right Ventricular Failure in Left Ventricular Assist Device Patients
Casper F. Zijderhand1,2, Yunus C. Yalcin1,2, Jelena Sjatskig1, Daniel Bos3,4, Alina A. Constantinescu2, Olivier C. Manintveld2, Ozcan Birim1, Jos A. Bekkers1, Ad J. J. C. Bogers1, Kadir Caliskan2,*
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1
Department of Cardiothoracic Surgery, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
2
Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
3
Department of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
4
Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands
*Correspondence: dr.kcaliskan@hotmail.com (Kadir Caliskan)
Rev. Cardiovasc. Med. 2023, 24(11), 313;
https://doi.org/10.31083/j.rcm2411313
Submitted: 22 November 2022 | Revised: 9 May 2023 | Accepted: 15 May 2023 | Published: 9 November 2023
(This article belongs to the Special Issue Mechanical Circulatory Support and Heart Transplantation: Current Updates and Future Challenges)
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract
Keywords
chest-wall abnormalities
pectus excavatum
right ventricle failure
left ventricular assist device
readmission
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Fig. 1.