So kids who have some decreased RVF, you can see it you know it actually manifests itself more during exercise and so you can see it during exercise testing sometimes.
Patients with RV compression had depressed right ventricular ejection fractions, particularly when compression affected the free wall versus the groove between right atrium and right ventricle.
Echocardiogram image quality in most pectus patients is atrocious—you can't see much of anything because the right ventricle and sternum are in the very near field of the transducer.
Cardiac MRI allows screening for valve disease and aortopathy, both part of the connective tissue spectrum, in addition to assessing pectus anatomy and cardiac function.
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
▶Ep 4 · 16:42
clinicalCardiac MRI can replace CT and echocardiogram, providing anatomical and functional evaluation without contrast in approximately 25 minutes.↗
▶Ep 4 · 17:38
clinicalCardiac MRI allows screening for valve disease and aortopathy, both part of the connective tissue spectrum, in addition to assessing pectus anatomy and cardiac function.↗
▶Ep 4 · 18:40
clinicalEchocardiogram image quality in most pectus patients is atrocious—you can't see much of anything because the right ventricle and sternum are in the very near field of the transducer.↗
▶Ep 4 · 18:40
quotethe image quality in most Pus patients is atrocious. So most people who don't, who don't look at echoes could tell you that you can't see at all.↗
▶Ep 4 · 21:34
epidemiologicalApproximately 15% of pectus patients had right ventricular ejection fractions less than 50% (normal is 50%).↗
▶Ep 4 · 23:25
clinicalPatients with RV compression had depressed right ventricular ejection fractions, particularly when compression affected the free wall versus the groove between right atrium and right ventricle.↗
▶Ep 4 · 24:19
quotekids are asymptomatic all the way up until they're at the very end of whatever it is↗
▶Ep 4 · 24:31
clinicalKids can have right ventricular ejection fractions in the 40s and be asymptomatic; symptoms often don't manifest until very late in the disease process.↗
▶Ep 4 · 26:29
clinicalAs kids with pectus age, the heart appears to get extruded into the left chest, though whether this is a growth developmental phenomenon is unknown.↗
▶Ep 4 · 29:09
clinicalMRI can be performed with pectus bars in place; there may be small localized susceptibility artifacts where the bar is on top of the heart, but they are minimal.↗
Michael's statements about Pectus Excavatum46 statements
Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
▶Ep 8 · 16:42
clinicalCardiac MRI can replace CT and echocardiogram, providing anatomical and functional evaluation without contrast in approximately 25 minutes.↗
▶Ep 8 · 16:42
clinicalCardiac MRI can replace CT and echocardiogram, providing anatomical and functional evaluation without contrast in approximately 25 minutes.↗
▶Ep 8 · 17:38
clinicalCardiac MRI allows screening for valve disease and aortopathy, both part of the connective tissue spectrum, in addition to assessing pectus anatomy and cardiac function.↗
▶Ep 8 · 17:38
clinicalCardiac MRI allows screening for valve disease and aortopathy, both part of the connective tissue spectrum, in addition to assessing pectus anatomy and cardiac function.↗
▶Ep 8 · 18:40
clinicalEchocardiogram image quality in most pectus patients is atrocious—you can't see much of anything because the right ventricle and sternum are in the very near field of the transducer.↗
▶Ep 8 · 18:40
quotethe image quality in most Pus patients is atrocious. So most people who don't, who don't look at echoes could tell you that you can't see at all.↗
▶Ep 8 · 18:40
quotethe image quality in most Pus patients is atrocious. So most people who don't, who don't look at echoes could tell you that you can't see at all.↗
▶Ep 8 · 18:40
clinicalEchocardiogram image quality in most pectus patients is atrocious—you can't see much of anything because the right ventricle and sternum are in the very near field of the transducer.↗
▶Ep 8 · 21:34
epidemiologicalApproximately 15% of pectus patients had right ventricular ejection fractions less than 50% (normal is 50%).↗
▶Ep 8 · 21:34
epidemiologicalApproximately 15% of pectus patients had right ventricular ejection fractions less than 50% (normal is 50%).↗
▶Ep 8 · 23:25
clinicalPatients with RV compression had depressed right ventricular ejection fractions, particularly when compression affected the free wall versus the groove between right atrium and right ventricle.↗
▶Ep 8 · 23:25
clinicalPatients with RV compression had depressed right ventricular ejection fractions, particularly when compression affected the free wall versus the groove between right atrium and right ventricle.↗
▶Ep 8 · 24:19
quotekids are asymptomatic all the way up until they're at the very end of whatever it is↗
▶Ep 8 · 24:19
quotekids are asymptomatic all the way up until they're at the very end of whatever it is↗
▶Ep 8 · 24:31
clinicalKids can have right ventricular ejection fractions in the 40s and be asymptomatic; symptoms often don't manifest until very late in the disease process.↗
▶Ep 8 · 24:31
clinicalKids can have right ventricular ejection fractions in the 40s and be asymptomatic; symptoms often don't manifest until very late in the disease process.↗
▶Ep 8 · 26:29
clinicalAs kids with pectus age, the heart appears to get extruded into the left chest, though whether this is a growth developmental phenomenon is unknown.↗
▶Ep 8 · 26:29
clinicalAs kids with pectus age, the heart appears to get extruded into the left chest, though whether this is a growth developmental phenomenon is unknown.↗
▶Ep 8 · 29:09
clinicalMRI can be performed with pectus bars in place; there may be small localized susceptibility artifacts where the bar is on top of the heart, but they are minimal.↗
▶Ep 8 · 29:09
clinicalMRI can be performed with pectus bars in place; there may be small localized susceptibility artifacts where the bar is on top of the heart, but they are minimal.↗
Radiology: Pectus Innovations
▶Ep 15 · 11:25
clinicalCardiac MRI for pectus assessment uses no contrast and takes approximately 25 minutes↗
▶Ep 15 · 11:25
clinicalCardiac MRI for pectus assessment uses no contrast and takes approximately 25 minutes↗
▶Ep 15 · 14:17
clinicalEchocardiogram image quality in pectus patients is poor because the right ventricle and sternum are in the very near field of the transducer↗
▶Ep 15 · 14:17
clinicalEchocardiogram image quality in pectus patients is poor because the right ventricle and sternum are in the very near field of the transducer↗
▶Ep 15 · 16:13
epidemiologicalApproximately 15% of pectus patients in the study (197 total) had right ventricular ejection fraction less than 50%↗
▶Ep 15 · 16:13
epidemiologicalApproximately 15% of pectus patients in the study (197 total) had right ventricular ejection fraction less than 50%↗
▶Ep 15 · 16:18
clinicalNormal right ventricular ejection fraction is considered to be 50%↗
▶Ep 15 · 16:18
clinicalNormal right ventricular ejection fraction is considered to be 50%↗
▶Ep 15 · 18:08
clinicalPatients with RV compression had depressed right ventricular ejection fractions, with worse function when compression was on the free wall versus the RA-RV groove↗
▶Ep 15 · 18:08
clinicalPatients with RV compression had depressed right ventricular ejection fractions, with worse function when compression was on the free wall versus the RA-RV groove↗
▶Ep 15 · 19:15
clinicalChildren can have right ventricular ejection fractions in the 40s and be asymptomatic↗
▶Ep 15 · 19:15
clinicalChildren can have right ventricular ejection fractions in the 40s and be asymptomatic↗
▶Ep 15 · 19:22
clinicalExercise testing can reveal decreased RV function that is not apparent at rest in children↗
▶Ep 15 · 19:22
clinicalExercise testing can reveal decreased RV function that is not apparent at rest in children↗
▶Ep 15 · 19:32
quoteSo kids who have some decreased RVF, you can see it you know it actually manifests itself more during exercise and so you can see it during exercise testing sometimes.↗
▶Ep 15 · 19:32
quoteSo kids who have some decreased RVF, you can see it you know it actually manifests itself more during exercise and so you can see it during exercise testing sometimes.↗
▶Ep 15 · 21:12
clinicalAs pectus patients age, the heart appears to get extruded into the left chest↗
▶Ep 15 · 21:12
clinicalAs pectus patients age, the heart appears to get extruded into the left chest↗
▶Ep 15 · 23:53
clinicalMRI can be performed on patients with pectus bars in place, with only minimal localized artifact where the bar is on top of the heart↗
▶Ep 15 · 23:53
clinicalMRI can be performed on patients with pectus bars in place, with only minimal localized artifact where the bar is on top of the heart↗
▶Ep 15 · 27:32
clinicalWhen the sternum presses on the free wall of the right ventricle, it affects right ventricular function↗
▶Ep 15 · 27:32
clinicalWhen the sternum presses on the free wall of the right ventricle, it affects right ventricular function↗
▶Ep 15 · 27:50
clinicalRight ventricular strain is markedly decreased in the free wall when compressed by pectus↗
▶Ep 15 · 27:50
clinicalRight ventricular strain is markedly decreased in the free wall when compressed by pectus↗
▶Ep 15 · 28:49
clinicalCardiac MRI reports aortic root dimensions and can detect mitral valve prolapse, important in Marfan patients↗
▶Ep 15 · 28:49
clinicalCardiac MRI reports aortic root dimensions and can detect mitral valve prolapse, important in Marfan patients↗
