- Your Heart
- Ask Dr. T
- Heart Healthy Living
- About Us
- Contact Us
Sudden Chest Pain Years After A Pectus Excavatum Repair
(From Mayo Clinic Medical Education Resources)
All the tests have proven your heart to be OK. The "rocking motion" (the wall motion abnormality) is probably the result of a residual chest wall depression that is still pushing on your heart, however, w/o it causing any functional abnormality.
The Ravitch procedure includes removal of the deformed rib cartilages and a metal rod(s) to push the rib cage outwards and thus restore a normal chest wall configuration:
The rod(s) is (are) usually removed after a few years and you haven't mentioned whether that was actually done. Therefore I'd look into a local chest wall injury, rather than continue to investigate your heart. For starters I'd recommend a chest CT or MRI to evaluate your rib cage and underlying lung, followed by a consultation with a thoracic surgeon with experience in this type of surgery. If the rod is stll there, it might have slipped, or another injury to your ribs may have occurred.
Some of your symptoms occur in patients with Marfan's syndrome and if so, your aorta wouls (should have been checked as well, The echocardiogram would probably have excluded a problem with your aorta, although sometimes more extensive testing is needed.
Hope this helps,
Ask Doctor T. Blog
I have been advised by my primary physician to schedule a cardiac catherization and possible stent placement procedure after having a Nuclear Stress Test with the following "Findings:
The study quality is excellent. There is no transient LV ischemic dilatation noted. The left ventricular...
I have a friend with internal defibulator. can I perform cpr and is it possible for me to get shocked if the debibulator is going off?