PURPOSE: To assess the changes in lung function and exercise performance due to minimal invasive pectus repair. METHODS: Fifty-nine patients with an average age of 16 years were included in this prospective investigation. After determination of body mass index (BMI) and body fat patients were subjected to pre-OP, post-OP and post-implant removal spirometry and bicycle ergospirometry. Forced vital capacity (FVC), performance capacity (PC) and relative oxygen uptake were determined. RESULTS: Post-OP FVC significantly decreased from 91% of normal value to 79%, but again increased to 88% after implant removal. PC showed a significant reduction (105-97% of normal value). Likewise, the relative oxygen uptake showed a significant decrease (43.8-42.2 ml/kg per min). These findings correlated to a significant increase of BMI and body fat. When calculating oxygen uptake per kilogram lean body weight, there were no significant changes (49.8 to 49.8 ml/kg per min). CONCLUSIONS: Pectus repair resulted in a temporary reduction of FVC, which resolved after implant removal. The drop in oxygen uptake and PC could be related to a significant increase of BMI and body fat. According to our data pectus repair is not followed by improvements in lung function and exercise performance.
PURPOSE: To assess the changes in lung function and exercise performance due to minimal invasive pectus repair. METHODS: Fifty-nine patients with an average age of 16 years were included in this prospective investigation. After determination of body mass index (BMI) and body fat patients were subjected to pre-OP, post-OP and post-implant removal spirometry and bicycle ergospirometry. Forced vital capacity (FVC), performance capacity (PC) and relative oxygen uptake were determined. RESULTS: Post-OP FVC significantly decreased from 91% of normal value to 79%, but again increased to 88% after implant removal. PC showed a significant reduction (105-97% of normal value). Likewise, the relative oxygen uptake showed a significant decrease (43.8-42.2 ml/kg per min). These findings correlated to a significant increase of BMI and body fat. When calculating oxygen uptake per kilogram lean body weight, there were no significant changes (49.8 to 49.8 ml/kg per min). CONCLUSIONS: Pectus repair resulted in a temporary reduction of FVC, which resolved after implant removal. The drop in oxygen uptake and PC could be related to a significant increase of BMI and body fat. According to our data pectus repair is not followed by improvements in lung function and exercise performance.
Authors: Drucy Borowitz; Frank Cerny; Garret Zallen; Jack Sharp; Mark Burke; Kara Gross; Philip L Glick Journal: J Pediatr Surg Date: 2003-04 Impact factor: 2.545
Authors: M Louise Lawson; Robert B Mellins; Meredith Tabangin; Robert E Kelly; Daniel P Croitoru; Michael J Goretsky; Donald Nuss Journal: J Pediatr Surg Date: 2005-01 Impact factor: 2.545
Authors: Robert E Kelly; Robert C Shamberger; Robert B Mellins; Karen K Mitchell; M Louise Lawson; Keith Oldham; Richard G Azizkhan; Andre V Hebra; Donald Nuss; Michael J Goretsky; Ronald J Sharp; George W Holcomb; Walton K T Shim; Stephen M Megison; R Lawrence Moss; Annie H Fecteau; Paul M Colombani; Traci C Bagley; Alan B Moskowitz Journal: J Am Coll Surg Date: 2007-06-21 Impact factor: 6.113
Authors: Christoph Castellani; Johannes Schalamon; Amulya K Saxena; Michael E Höellwarth Journal: Pediatr Surg Int Date: 2008-04-05 Impact factor: 1.827
Authors: Daniel C Aronson; Remko P Bosgraaf; Eva-Maria Merz; Reindert P van Steenwijk; Wim M C van Aalderen; Robertine van Baren Journal: World J Surg Date: 2007-05-30 Impact factor: 3.352
Authors: Dawn E Jaroszewski; Juan M Farina; Michael B Gotway; Joshua D Stearns; Michelle A Peterson; Venkata S K K Pulivarthi; Peter Bostoros; Ahmad S Abdelrazek; Ashwini Gotimukul; David S Majdalany; Courtney M Wheatley-Guy; Reza Arsanjani Journal: J Am Heart Assoc Date: 2022-04-04 Impact factor: 5.501
Authors: Barbara Del Frari; Cornelia Blank; Stephan Sigl; Anton H Schwabegger; Eva Gassner; David Morawetz; Wolfgang Schobersberger Journal: Eur J Cardiothorac Surg Date: 2021-12-27 Impact factor: 4.191