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January 2023 Br J Cardiol 2023;30:39–40 doi:10.5837/bjc.2023.004

Pectus excavatum with right ventricular compression-induced ventricular arrhythmias

Lisa Ferraz, Diana Carvalho, Simão Carvalho, Adriana Pacheco, Ana Faustino, Ana Neves

Abstract

Introduction Pectus excavatum is the most common congenital anomaly of the anterior chest wall, most often being benign, however, it can sometimes have structural and haemodynamic consequences secondary to mechanical compression.1 Most patients are asymptomatic, but may experience symptoms due to impaired cardiac function and, occasionally, cardiac arrhythmias.2 Case A 33-year-old woman, without relevant personal and family history, with palpitations since the age of 15, was referred to a cardiology consultation due to very frequent ventricular extrasystoles (28,423/day, 26.6%). On objective examination, she had pectus excavatum, without othe

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