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Castellani, C; Windhaber, J; Schober, PH; Hoellwarth, ME.
Exercise performance testing in patients with pectus excavatum before and after Nuss procedure
PEDIAT SURG INT. 2010; 26(7): 659-663. Doi: 10.1007/s00383-010-2627-0
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Leading authors Med Uni Graz
Castellani Christoph
Co-authors Med Uni Graz
Höllwarth Michael
Schober Peter
Windhaber Jana Maria
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Abstract:
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.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Adult - administration & dosage
Body Composition - administration & dosage
Body Mass Index - administration & dosage
Child - administration & dosage
Exercise Test - administration & dosage
Female - administration & dosage
Funnel Chest - physiopathology, surgery
Humans - administration & dosage
Lung - physiopathology
Male - administration & dosage
Oxygen Consumption - physiology
Prospective Studies - administration & dosage
Prostheses and Implants - adverse effects
Spirometry - administration & dosage
Treatment Outcome - administration & dosage
Vital Capacity - physiology
Young Adult - administration & dosage

Find related publications in this database (Keywords)
Pectus excavatum
MIRPE
Nuss procedure
Lung function
Exercise performance
Ergometry
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