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this non-randomized prospective study of 2 longitudinal cohorts (surgical treatment group or orthopedic treatment group), will evaluate the hemodynamic repercussions of the correction (surgical and non surgical) of pectus excavatum-type thoracic deformities by measuring the cardiac output difference before and after intervention, measured by transthoracic impedancemetry, during an exercise stress test
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical treatment group | Experimental | patients who chose to undergo a surgical correction (Ravitch or Nuss type intervention). intervention: surgical correction (Ravitch or Nuss type intervention). |
|
| Orthopedic treatment group | Experimental | patients who chose an orthopedic treatment by vacuum bell. intervention : orthopedic treatment by vacuum bell. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgical treatment | Procedure | patients who chose to undergo a surgical correction (Ravitch or Nuss type intervention). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac output difference before and after intervention,during an exercise stress test | Cardiac output measured by transthoracic impedancemetry, during an exercise stress test | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Measure | Description | Time Frame |
|---|---|---|
| Rest lung function tests | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) | |
| Exercise functional capacity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marc Filaire, Pr | Centre Jean Perrin, Service de Chirurgie Thoracique | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Clermont-Ferrand, Médecine du sport et d'explorations fonctionnelles | Clermont-Ferrand | 63000 | France | |||
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| ID | Term |
|---|---|
| D005660 | Funnel Chest |
| ID | Term |
|---|---|
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D009139 | Musculoskeletal Abnormalities |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| orthopedic treatment | Procedure | orthopedic treatment by vacuum bell. |
|
| 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Exercise cardiac output | Exercise cardiac output (measured by transthoracic echocardiography) | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Quality of life | Quality of life SF36 | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Mean energy expenditure | Mean energy expenditure will be evaluated by metabolic and physical activity monitor "armband" during 3 days (Kcal/min) | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Evaluation of postoperative neuropathic pain | 4 months before treatment (initial evaluation E1) just before treatment (intermediate evaluation E2) and 4 months after surgical treatment (TC) or orthopedic treatment (TO) of the deformation (final evaluation E3) |
| Centre Jean Perrin |
| Clermont-Ferrand |
| 63011 |
| France |
| CHU G Montpied, Service de Cardiologie et Maladies Vasculaires | Clermont-Ferrand | 63011 | France |
| CHU de Saint-Étienne, Hôpital Bellevue, Médecine du Sport et explorations fonctionnelles | Saint-Etienne | 42100 | France |
| CHU de St Etienne, Hôpital Nord, Chirurgie thoracique | Saint-Priest-en-Jarez | 42055 | France |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |