title: Lower extremity edema in a child due to pectus excavatum.
abstract: A previously healthy 11-year-old girl was referred for pediatric cardiology evaluation because of the development of progressive bilateral lower extremity swelling over the course of 2 years. Her prior workup had included a negative result for proteinuria and a negative ultrasound for deep venous thrombosis. On physical examination, in addition to her edema, she was found to have a severe pectus excavatum deformity, which prompted cardiac magnetic resonance imaging. This study demonstrated compression of the inferior vena cava. She underwent uneventful pectus repair with use of a modified Ravitch procedure and experienced complete resolution of her lower extremity edema.
authors: Emory University, Children's Healthcare of Atlanta, Division of Pediatric Cardiology, Sibley Heart Center, Atlanta, Georgia. Electronic address: iannuccig@kidsheart.com.
authors: Glen J
authors: GJ
authors: Iannucci
authors: Emory University, Children's Healthcare of Atlanta, Division of Pediatric Cardiology, Sibley Heart Center, Atlanta, Georgia.
authors: Timothy C
authors: TC
authors: Slesnick
authors: Emory University, Division of Pediatric Cardiothoracic Surgery, Atlanta, Georgia.
authors: Brian
authors: B
authors: Kogon
authors: Emory University, Children's Healthcare of Atlanta, Division of Pediatric Cardiology, Sibley Heart Center, Atlanta, Georgia.
authors: Cyrus
authors: C
authors: Samai
mesh_terms: D002648:Child; D004487:Edema / Q000209:etiology*; D005260:Female; D005660:Funnel Chest / Q000150:complications* / Q000601:surgery; D006801:Humans; D035002:Lower Extremity