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A trial of surgery versus no surgery in patients with severe pectus excavatum: looking at improvements in heart and lung functio

Not Applicable
Conditions
Cardiothoracic surgery, pectus excavatum
Surgery
Registration Number
ISRCTN11359779
Lead Sponsor
South Tees Hospitals NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
300
Inclusion Criteria

For inclusion in the randomised trial:
1.= 12 years old.
2.A PE deformity with a Haller Index of >3.25, as measured by the internal width of the chest measured at the widest point divided by the distance from the back of the sternum to the anterior vertebral body at its minimum point on CT scan.
3.The participant must satisfy at least one of the following criteria:
3.1.Significant level of shortness of breath or exercise ability perceived to be below that of their peers (e.g., limited by vigorous activities such as running or lifting heavy objects).
3.2.Presyncope or syncope on exercise.
3.3.Arrhythmias on ECG that may be due to the pectus abnormality.
3.4.Dysphagia or swallowing abnormalities in the absence of any other cause.
4.Provide informed consent/assent and agree to 5 years of follow up.
5.Fit to undergo surgery.

For inclusion in the observational cohort:
1.>=12 years old.
2.Confirmed as eligible and fit for surgery via the national MDT surgical pathway.
3.Providing informed consent to take part in the embedded observational cohort and agreeing to 5 years follow up.

Exclusion Criteria

For the randomised trial:
1.Patients not fulfilling the inclusion criteria.
2.Symptoms relating to causes other than PE.
3.Unwilling to have surgery for PE.

For the observational cohort:
1.Patients not fulfilling the inclusion criteria.
2.Patients who are willing to join the full randomised trial group of the RESTORE Trial.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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