Evidence map›Paper›PMID 41240047›Full record

ArticleJACC. Case reports2026

Severe Pectus Excavatum: Unusual Cause of Sudden Cardiac Death Linked to a Novel Genetic Variant.

Carmen Labarta-Bello, Clara Ugueto-Rodrigo, Miguel A Martín-Arena, Sandra Rosillo-Rodríguez, Juan Caro-Codón, Emilio Arbas-Redondo, José Ruiz-Cantador, Álvaro González-Rocafort, Cristina Cavestany García-Matres, Carlos A de la Torre and 2 more

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carmen Labarta-BelloCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain. Electronic address: carmenlabarta98@gmail.com.
Clara Ugueto-RodrigoCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
Miguel A Martín-ArenaCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
Sandra Rosillo-RodríguezCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
Juan Caro-CodónCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
Emilio Arbas-RedondoCardiological Acute Care Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
José Ruiz-CantadorAdult Congenital Heart Disease Unit, Department of Cardiology, La Paz University Hospital, Madrid, Spain.
Álvaro González-RocafortCongenital Cardiovascular Surgery Department, La Paz University Hospital, Madrid, Spain.
Cristina Cavestany García-MatresThoracic Surgery Department, La Paz University Hospital, Madrid, Spain.
Carlos A de la TorrePediatric Surgery Department, La Paz University Hospital, Madrid, Spain.
Luis Fernández García-MoyaInstitute of Medical and Molecular Genetics, Research Institute of La Paz University Hospital (IdiPAZ), Madrid, Spain.
Raúl Moreno-GómezHead of the Department of Cardiology, La Paz University Hospital, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere pectus excavatum is a rare cause of sudden cardiac death (SCD). CASE SUMMARY: A 44-year-old man with severe pectus excavatum presented with SCD due to ventricular fibrillation. Evaluation revealed a previously undiagnosed myxomatous bicuspid aortic valve with severe regurgitation and a small right coronary ostium compressed by the chest wall. Other causes of ventricular fibrillation were excluded. The patient underwent combined aortic valve replacement and pectus excavatum repair. Genetic testing identified a novel filamin A (FLNA) variant of uncertain significance (c.6616G>A; p.(Val2206Met)), potentially affecting protein function. DISCUSSION: To our knowledge, this is the first reported case suggesting a potential association between a FLNA gene variant and severe pectus excavatum with concomitant myxomatous valvular disease. TAKE-HOME MESSAGES: Severe pectus excavatum has been reported as a rare cause of SCD, but the underlying mechanisms remain unclear. A novel FLNA gene variant may provide additional insights in this case.

Indexed as

aortic regurgitationconnective tissue disorderspectus excavatumsudden cardiac deathventricular fibrillation

Identifiers

PMID41240047
PMCPMC12882325

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