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
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
41
patients who chose to undergo a surgical correction (Ravitch or Nuss type intervention).
orthopedic treatment by vacuum bell.
CHU de Clermont-Ferrand, Médecine du sport et d'explorations fonctionnelles
Clermont-Ferrand, France
Centre Jean Perrin
Clermont-Ferrand, France
CHU G Montpied, Service de Cardiologie et Maladies Vasculaires
Clermont-Ferrand, France
CHU de Saint-Étienne, Hôpital Bellevue, Médecine du Sport et explorations fonctionnelles
Saint-Etienne, France
Cardiac output difference before and after intervention,during an exercise stress test
Cardiac output measured by transthoracic impedancemetry, during an exercise stress test
Time frame: 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)
Rest lung function tests
Time frame: 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
Time frame: 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)
Time frame: 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
Time frame: 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)
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CHU de St Etienne, Hôpital Nord, Chirurgie thoracique
Saint-Priest-en-Jarez, France
Time frame: 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
Time frame: 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)