Pectus - Preoperative Assessment - Radiology and Cardiac Evaluation
Topic overview
Dr. Todd Ponsky introduces the chair of the event, Dr. Victor F. Garcia, founding director, trauma services. Dr. Garciaintroduces the event panel. Dr. Rebeccah L. Brown starts the even by presenting a case study of a thirteen year old male with pectus excavatum with worsening exercise intolerance. Dr. Eric J. Crotty discusses the MRI and radiology evaluation of this patient. Dr. Crotty explains the advantages of an MRI versusa CT examination in these patients as well asvarious measurement techniques- haller index, depression index,and correction index to determine the sternum depression and severity of the pectus deformity. Dr. Michael D. Taylor, discusses the importance of obtaining a cardia MRI from pectus deformity patients. Dr. Taylor presentsinformation which acardiac MRI provides for pectus patients, cardiac evaluation, echocardiogram insufficiency, flow imaging, and imaging showingright ventricularcompression by the sternum. Dr. Taylor's demonstration was followed by a panel discussion covering imaging finances, right ventricular function effects byobstruction by the sternum, and the optimal age for a pectus repair.
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