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J Cardiovasc Ultrasound. 2011 Dec;19(4):192-195. English. Case Report.
Jaroszewski DE , Warsame TA , Chandrasekaran K , Chaliki H .
Department of Surgery, Division Cardiothoracic Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA.
Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, AZ, USA.

Pectus excavatum exists as varying anatomic deformities and compression of the right heart by the chest wall can lead to patient symptoms including dyspnea and chest pain with exertion. Echocardiography can be difficult but is critical to the evaluation and diagnosis of this patient population. Modifying standard views such as biplane transthoracic and 3-D transesophageal views may be necessary in some patients due to limitations from the abnormal anatomy of the deformed anterior chest wall. Apical four-chamber views when seen clearly can usually visualize any extrinsic compression to the right ventricle of the heart.

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