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What Does My CT Scan Report Of The Chest Indicate?

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Posted on Thu, 9 Apr 2015
Question: hello,
I am a 39 y/o female who recently had a CT scan of the chest for an episode of chest pain to rule out a PE. The scan revealed a pectus excavtum deformity causing mass effect of the right atrium and right ventricle. I have since been referred to a cardio thoracic surgeon. For years, I have had chest pains, SOB, fatigue, palpitations, very low activity tolerance. Could the pectus effect on my heart be the root of my issues and at 39 years of age, am I too old to have it repaired?
doctor
Answered by Dr. Lilit Baghdasaryan (51 minutes later)
Brief Answer:
Not too old for repair

Detailed Answer:
Dear Mrs,

I think the correction of pectus excavatus should be done unless there are contraindications. You should discuss it with cardiothoracic surgeons.
Most probably your symptoms are related to pectus excavatus. It presses on the lungs, heart , nearby tissues and nerves and can cause different symptoms such as chestpain, breathlessness, etc.
Usually patients' symptoms are revealed after correction, unless there are big changes in the heart.
I don't think you are too old for intervention or further recovery.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Lilit Baghdasaryan (14 minutes later)
thank you or your reply.
i also have abnormal EKGs. They show right bundle branch block, right axis deviation. Attempted a stress echo when I was hospitilazied for observation in January of this year for flipped waves on an EKG done in the ER. but couldn't do the treadmill part for long. They terminated the study due to dyspnea and fatigue. I also have frequent episodes of tachycardia, sometimes my apical reaches up to 170 bpm at rest. Could these findings also be linked to the pectus excavutum? I am scheduled for pulmonary function tests tomorrow, and my thoracic surgery appointment is next Monday. I am hoping for relief of these symptoms I have had for so long. Thanks.
doctor
Answered by Dr. Lilit Baghdasaryan (16 minutes later)
Brief Answer:
They can be related to pectus excavatus

Detailed Answer:
Dear Mrs,

Right bundle branch block, tachycardia and dyspnoe during physical activity can be related to pectus excavatus.
The mechanism is the same, as I have described.
Regards,
Note: click here to Consult a cardiac surgeon online. to know the best treatment option for your heart-related issues

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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What Does My CT Scan Report Of The Chest Indicate?

Brief Answer: Not too old for repair Detailed Answer: Dear Mrs, I think the correction of pectus excavatus should be done unless there are contraindications. You should discuss it with cardiothoracic surgeons. Most probably your symptoms are related to pectus excavatus. It presses on the lungs, heart , nearby tissues and nerves and can cause different symptoms such as chestpain, breathlessness, etc. Usually patients' symptoms are revealed after correction, unless there are big changes in the heart. I don't think you are too old for intervention or further recovery. Hope I could help you Wishing you good health In case of further questions don't hesitate to ask Regards,