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7. Chest Wall Deformities

Author

Martinez-Ferro, Marcelo, Toselli, Luzía, Bellia-Munzon, Gaston, Lacher, Martin, editor, St. Peter, Shawn D., editor, and Zani, Augusto, editor

Published
2021
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22. Acute Abdomen

Author

Laje, Pablo, Martinez-Ferro, Marcelo, Sinha, Chandrasen K., editor, and Davenport, Mark, editor

Published
2010
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24. Genitourinary Disorders

Author

Valla, Jean Stephane, Sarnacki, Sabine, Savanelli, Antonio, De Marco, Marianna, Dolezalova, Hana, Perricone, Flavio, Vallone, Gianfranco, Rambaldi, Pier Francesco, Alicchio, Francesca, Mansi, Luigi, Greco, Barbara, Papparella, Alfonso, Romano, Mercedes, Parmeggiani, Pio, Marte, Antonio, Sabatino, Maria Domenica, Martinez-Ferro, Marcelo, Iacobelli, Salvatore, Giordano, Emanuela, Cigliano, Bruno, Becmeur, François, De Luca, Concetta, Antao, Brice, Najmaldin, Azad, Terrin, Gianluca, Passariello, Annalisa, Esposito, Giovanni, editor, Esposito, Ciro, editor, Albanese, Craig T., editor, Fujioka, Masayuki, editor, MacKinlay, Gordon A., editor, Rollins, Nancy, editor, and Schier, Felix, editor

Published
2009
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42. Contributors

Author

Aguayo, Pablo, Azuma, Takahiro, Bailez, Maria Marcela, Bellia-Munzon, Gaston, Cazares, Joel, Clifton, Matthew S., Derderian, S. Christopher, Dietrich, Jennifer E., Escolino, Maria, Esposito, Ciro, Fraser, Jason David, Gibbons, Alexander T., Gray, Brian, Holcomb, George W., III, Hyun, Jeong, Inge, Thomas, Juang, David, Kane, Timothy D., Kelly, Robert Edward, Jr., Koga, Hiroyuki, Lai, Sarah Wendy, Levitt, Marc Aaron, Nguyen, Thanh Liem, Mahler, Sara Johanna, Martinez-Ferro, Marcelo, McMahon, Lisa, Meehan, John J., Miyano, Go, Muensterer, Oliver J., Ostlie, Dan, Ponsky, Todd, Rentea, Rebecca Maria, Rescorla, Frederick, Rothenberg, Steven S., Santore, Matthew, Saxena, Amulya, Shehata, Sameh, St. Peter, Shawn, Strickland, Julie Lubker, Szavay, Philipp O., Toselli, Luzia, Van der Zee, David C., Wall, James, Wulkan, Dr. Mark, Yamataka, Atsuyuki, and Yeung, Chung Kwong

Published
2022
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43. Preoperative multimodality imaging of pectus excavatum: State of the art review and call for standardization

Author

Rodríguez-Granillo, Gastón A., primary, Martínez-Ferro, Marcelo, additional, Capuñay, Carlos, additional, Bellia-Munzón, Gaston, additional, Deviggiano, Alejandro, additional, Raggio, Ignacio, additional, Fernandez-Rostello, Eduardo, additional, Hurtado Hoyo, Elias, additional, Bastarrika, Gorka, additional, and Carrascosa, Patricia, additional

Published
2019
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45. Colaboradores

Author

Aguayo, Pablo, Alemayehu, Hanna, Alon, Uri S., Alonso, Maria H., Andrews, Walter S., August, Keith J., Austin, Mary T., Axt, Jason, Beins, Nathan, Benedict, Leo Andrew Osifuye, Bonasso, Patrick C., II, Bondoc, Alexander J., Borer, Joseph G., Bowlin, Paul R., Canning, Douglas A., Calkins, Casey M., Carrasco, Alonso, Jr., Cartwright, Patrick C., Caty, Michael G., Cazares, Joel, Chandler, Nicole, Church, Joseph T., Colombani, Paul M., Cooper, Arthur, Coplen, Douglas E., Dasgupta, Roshni, Dassinger, M. Sidney, III, Davidoff, Andrew M., DeFoor, W. Robert, Jr., Dellinger, Matthew B., Dewberry, Lindel C., Diaz, Laura K., Dowlut-McElroy, Tazim, Duggan, Eileen M., Ehrlich, Peter, Elder, Jack S., Escobar, Mauricio A. (Tony), Jr., Escolino, Maria, Esposito, Ciro, Fallat, Mary E., Farmer, Diana, Flake, Alan W., Fisher, Jeremy G., Fishman, Steven J., Fraser, Jason D., Fusco, Joseph, Gadepalli, Samir K., Gatti, John M., Gittes, George K., Grabb, Paul A., Greene, Spencer, Gurría, Juan P., Hamilton, Emma C., Harting, Matthew T., Hebra, Andre, Helmrath, Michael, Hendrickson, Richard J., Hertweck, S. Paige, Hirose, Shinjiro, Hirschl, Ronald B., Holcomb, George W., III, Hollinger, Laura E., Hong, Charles R., Inge, Thomas H., Iqbal, Nazia Tabassum, Islam, Saleem, Jaksic, Tom, Jarboe, Marcus D., Juang, David, Kane, Bartholomew John, Kelly, Robert E., Jr., Koenig, Joel F., Kryger, John V., Laberge, Jean-Martin, Laje, Pablo, Lally, Kevin P., Langer, Jacob C., Lau, Glen A., Levitt, Marc A., Lewing, Karen B., Leys, Charles M., Liem, Nguyen Thanh, Little, Danny C., Lorenzo, Armando J., Martínez, Leopoldo, Martinez-Ferro, Marcelo, Maxson, Robert Todd, Maxwell, Lynne G., McMahon, Lisa, Malek, Marcus M., Mehta, Nilesh M., Minevich, Eugene, Mitchell, Michael E., Moss, R. Lawrence, Murphy, J. Patrick, Mychaliska, George B., Naik-Mathuria, Bindi, Nakayama, Don K., Nathan, Jaimie D., Nichol, Peter F., Notrica, David M., Nuchtern, Jed G., Ogle, Sarah B., Ortiz-Hernández, Vanessa, Ostlie, Daniel J., Oyetunji, Tolulope, Papic, Jonathan C., Perez-Brayfield, Marcos, Puligandla, Pramod S., Raynor, Stephen C., Rentea, Rebecca M., Rescorla, Frederick J., Rilinger, Jay, Rosenfeld, Eric H., Roth, Elizabeth B., Rothenberg, Steven, Russell, Katie W., Saltzman, Daniel A., Schwend, Richard, Segura, Bradley J., Shah, Sohail R., Shamberger, Robert C., Shapiro, Ellen, Shaw, Kenneth, Sheldon, Curtis A., Skube, Mariya E., Smith, Samuel D., Snow, Brent W., Snyder, Charles L., Snyder, Christopher, Snyder, Howard M., III, Sobrino, Justin A., Sola, Richard, Jr., St. Peter, Shawn D., Strickland, Julie, Sujka, Joseph A., Sullins, Veronica, Tiao, Gregory M., Tieves, Kelly S., Tovar, Juan A., Tsao, KuoJen, Ure, Benno, Vandewalle, Robert J., Varela, Patricio, Vegunta, Ravindra K., Velazco, Cristine S., von Allmen, Daniel, Waldhausen, John H.T., Wallis, M. Chad, Warady, Bradley A., Weiss, Dana A., Wester, Tomas, Wicklund, Brian M., Willig, Laurel, Wood, Richard J., Woods, Gerald M., Wright, Tiffany N., Wu, Hsi-Yang, Wulkan, Mark, Wyrick, Deidre L., and Yamataka, Atsuyuki

Published
2021
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46. List of Contributors

Author

Aguayo, Pablo, Alemayehu, Hanna, Alon, Uri S., Alonso, Maria H., Andrews, Walter S., August, Keith J., Austin, Mary T., Axt, Jason, Beins, Nathan, Benedict, Leo Andrew Osifuye, Bonasso, Patrick C., II, Bondoc, Alexander J., Borer, Joseph G., Bowlin, Paul R., Canning, Douglas A., Calkins, Casey M., Carrasco, Alonso, Jr., Cartwright, Patrick C., Caty, Michael G., Cazares, Joel, Chandler, Nicole, Church, Joseph T., Colombani, Paul M., Cooper, Arthur, Coplen, Douglas E., Dasgupta, Roshni, Dassinger, M. Sidney, III, Davidoff, Andrew M., DeFoor, W. Robert, Jr., Dellinger, Matthew B., Dewberry, Lindel C., Diaz, Laura K., Dowlut-McElroy, Tazim, Duggan, Eileen M., Ehrlich, Peter, Elder, Jack S., (Tony) Escobar, Mauricio A., Jr., Escolino, Maria, Esposito, Ciro, Fallat, Mary E., Farmer, Diana, Flake, Alan W., Fisher, Jeremy G., Fishman, Steven J., Fraser, Jason D., Fusco, Joseph, Gadepalli, Samir K., Gatti, John M., Gittes, George K., Grabb, Paul A., Greene, Spencer, Gurría, Juan P., Hamilton, Emma C., Harting, Matthew T., Hebra, Andre, Helmrath, Michael, Hendrickson, Richard J., Hertweck, S. Paige, Hirose, Shinjiro, Hirschl, Ronald B., Holcomb, George W., III, Hollinger, Laura E., Hong, Charles R., Inge, Thomas H., Iqbal, Nazia Tabassum, Islam, Saleem, Jaksic, Tom, Jarboe, Marcus D., Juang, David, Kane, Bartholomew John, Kelly, Robert E., Jr., Koenig, Joel F., Kryger, John V., Laberge, Jean-Martin, Laje, Pablo, Lally, Kevin P., Langer, Jacob C., Lau, Glen A., Levitt, Marc A., Lewing, Karen B., Leys, Charles M., Liem, Nguyen Thanh, Little, Danny C., Lorenzo, Armando J., Martínez, Leopoldo, Martinez-Ferro, Marcelo, Maxson, Robert Todd, Maxwell, Lynne G., McMahon, Lisa, Malek, Marcus M., Mehta, Nilesh M., Minevich, Eugene, Mitchell, Michael E., Moss, R. Lawrence, Murphy, J. Patrick, Mychaliska, George B., Naik-Mathuria, Bindi, Nakayama, Don K., Nathan, Jaimie D., Nichol, Peter F., Notrica, David M., Nuchtern, Jed G., Ogle, Sarah B., Ortiz-Hernández, Vanessa, Ostlie, Daniel J., Oyetunji, Tolulope, Papic, Jonathan C., Perez-Brayfield, Marcos, Puligandla, Pramod S., Raynor, Stephen C., Rentea, Rebecca M., Rescorla, Frederick J., Rilinger, Jay, Rosenfeld, Eric H., Roth, Elizabeth B., Rothenberg, Steven, Russell, Katie W., Saltzman, Daniel A., Schwend, Richard, Segura, Bradley J., Shah, Sohail R., Shamberger, Robert C., Shapiro, Ellen, Shaw, Kenneth, Sheldon, Curtis A., Skube, Mariya E., Smith, Samuel D., Snow, Brent W., Snyder, Charles L., Snyder, Christopher, Snyder, Howard M., III, Sobrino, Justin A., Sola, Richard, Jr., St. Peter, Shawn D., Strickland, Julie, Sujka, Joseph A., Sullins, Veronica, Tiao, Gregory M., Tieves, Kelly S., Tovar, Juan A., Tsao, KuoJen, Ure, Benno, Vandewalle, Robert J., Varela, Patricio, Vegunta, Ravindra K., Velazco, Cristine S., von Allmen, Daniel, Waldhausen, John H.T., Wallis, M. Chad, Warady, Bradley A., Weiss, Dana A., Wester, Tomas, Wicklund, Brian M., Willig, Laurel, Wood, Richard J., Woods, Gerald M., Wright, Tiffany N., Wu, Hsi-Yang, Wulkan, Mark, Wyrick, Deidre L., and Yamataka, Atsuyuki

Published
2020
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47. Causes of Exercise Intolerance in Pectus Excavatum

Author

Raggio, Ignacio M., Munín, Martín A., Spernanzoni, Fernando, Thierer, Jorge, Torres, Víctor, Martínez Ferro, Marcelo, Bellia Munzón, Gastón, Vallejos, Javier, Raggio, Ignacio M., Munín, Martín A., Spernanzoni, Fernando, Thierer, Jorge, Torres, Víctor, Martínez Ferro, Marcelo, Bellia Munzón, Gastón, and Vallejos, Javier

Abstract

Background: Despite several studies have reported lower exercise capacity in patients with pectus excavatum, none of them could demonstrate a clear pathophysiology. Objective: The aim of this study is to evaluate cardiac hemodynamics and systolic and diastolic function at rest and during exercise in patients with pectus excavatum and compare it with healthy controls. Methods: Stress echocardiography was performed in 111 subjects with pectus excavatum and 20 healthy controls. Results: Patients with pectus excavatum had lower right ventricular inflow minimum diameter: 1.29±0.26 cm/m2 versus 1.89±0.25 cm/m2 (p <0.01). Peak exercise capacity was lower in patients with pectus excavatum: 8.3±1.4 METs versus 15±4.5 METs (p <0.0001). Left ventricular diastolic dysfunction was observed in 34.6% of the patients with pectus excavatum and in 5% of the healthy controls (p=0.007), while 40% of the subjects with pectus excavatum and 15% of the healthy controls presented right ventricular diastolic dysfunction (p=0.04). Medium tricuspid pressure gradient during exercise was higher in patients with pectus excavatum: 6.21±2.29 mm Hg versus 4.8±1.17 mm Hg in healthy controls (p=0.01). The tricuspid valve area remained fixed during exercise in patients with pectus excavatum: 1.48±0.57 cm2/m2 versus 2.11±0.88 cm2/m2 in healthy controls (p=0.0001). Conclusions: Patients with pectus excavatum present functional abnormalities, probably due to external compression of the heart, which are evident by a small tricuspid annulus, a higher tricuspid pressure gradient during exercise, a tricuspid area, Introducción: En múltiples estudios se ha determinado menor capacidad de esfuerzo en pacientes con pectus excavatum, pese a lo cual no se ha logrado demostrar claramente un mecanismo fisiopatológico que la explique. Objetivo: Evaluar la hemodinamia cardíaca y la función sistodiastólica en reposo y en esfuerzo en pacientes con pectus excavatum, comparándolos con controles sanos. Material y métodos: Se estudiaron con eco estrés 111 sujetos portadores de pectus excavatum y 20 controles sanos. Resultados: El diámetro mínimo a nivel del tracto de entrada del ventrículo derecho fue menor en los pacientes con pectus excavatum: 1,29 ± 0,26 cm/m2 versus 1,89 ± 0,25 cm/m2 (p < 0,01). La capacidad de esfuerzo máxima fue menor en los pacientes con pectus excavatum: 8,3 ± 1,4 MET versus 15 ± 4,5 MET (p < 0,0001). Se observaron signos de disfunción diastólica del ventrículo izquierdo en el 34,6% de los pacientes con pectus excavatum y en el 5% de los controles sanos (p = 0,007), y de disfunción diastólica del ventrículo derecho en el 40% de los portadores de pectus excavatum y el 15% de los controles sanos (p = 0,04). El gradiente tricuspídeo medio en el esfuerzo fue mayor en los pacientes con pectus excavatum: 6,21 ± 2,29 mm Hg versus 4,8 ± 1,17 mm Hg en los controles sanos (p = 0,01). El área tricuspídea en el esfuerzo se mantuvo fija en los portadores de pectus excavatum: 1,48 ± 0,57 cm2/m2 versus 2,11 ± 0,88 cm2/m2 en los controles sanos (p = 0,0001). Conclusiones: Los pacientes con pectus excavatum presentan alteraciones funcionales, probablemente producto de la compresión cardíaca externa, que se evidencian por un diámetro del anillo tricuspídeo menor, un gradiente diastólico tricuspídeo mayor en el esfuerzo, un área tricuspídea fija en reposo y en esfuerzo, y signos que sugieren disfunción diastólica del ventrículo izquierdo y el ventrículo derecho. Dichas alteraciones contribuyen a explicar la menor performance en el esfuer

Published
2016

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