{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:13:27Z","timestamp":1783743207011,"version":"3.55.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pectus excavatum (PE) is the most common congenital chest wall deformity but its association with atrial fibrillation (AF) remains underrecognized. We present a case where surgical correction of PE resulted in complete resolution of AF, highlighting the role of structural compression in lone AF and other arrhythmias. A 25-year-old male with PE presented with recurrent symptomatic AF without prior cardiovascular disease. Despite initial treatment with metoprolol and apixaban, episodes persisted. Chest CT demonstrated severe deformity (Haller index 5.6) and right atrial compression. Echocardiography showed a reduced ejection fraction (40%\u201345%). He underwent a Nuss procedure with dual bars and intercostal nerve cryoablation, resulting in immediate intraoperative relief of compression. There was no recurrence of AF at 9\u00a0months follow up. Severe PE may contribute to lone AF through mechanical compression. Surgical correction can provide symptom resolution in appropriate patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjag433","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:57:16Z","timestamp":1783742236000},"source":"Crossref","is-referenced-by-count":0,"title":["Resolution of lone atrial fibrillation in a patient with severe pectus excavatum after Nuss procedure: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Raissa","family":"Li","sequence":"first","affiliation":[{"name":"Department of Surgery, Boston Children\u2019s Hospital, Harvard Medical School , 300 Longwood Avenue, Boston, MA 02115 ,","place":["United States"]},{"name":"Tufts University School of Medicine , 145 Harrison Avenue, Boston, MA 02111 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"L Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Boston Children\u2019s Hospital, Harvard Medical School , 300 Longwood Avenue, Boston, MA 02115 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Harnish","sequence":"additional","affiliation":[{"name":"Lahey Hospital and Medical Center , 41 Burlington Mall Road, Burlington, MA 01805 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farokh R","family":"Demehri","sequence":"additional","affiliation":[{"name":"Department of Surgery, Boston Children\u2019s Hospital, Harvard Medical School , 300 Longwood Avenue, Boston, MA 02115 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"2026071023571358100_ref1","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1093\/icvts\/ivs045","article-title":"Pectus excavatum: history, hypotheses and treatment options","volume":"14","author":"Brochhausen","year":"2012","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2026071023571358100_ref2","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.amjsurg.2011.12.013","article-title":"Correlating Haller index and cardiopulmonary disease in pectus excavatum","volume":"203","author":"Swanson","year":"2012","journal-title":"Am J Surg"},{"key":"2026071023571358100_ref3","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.3978\/j.issn.2072-1439.2015.09.30","article-title":"Surgical correction of 639 pectus excavatum cases via the Nuss procedure","volume":"7","author":"Zhang","year":"2015","journal-title":"J Thorac Dis"},{"key":"2026071023571358100_ref4","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.jelectrocard.2023.11.007","article-title":"The electrocardiographic manifestations of pectus excavatum before and after surgical correction","volume":"82","author":"Farina","year":"2024","journal-title":"J Electrocardiol"},{"key":"2026071023571358100_ref5","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1016\/j.jpedsurg.2005.12.009","article-title":"Demonstrating relief of cardiac compression with the Nuss minimally invasive repair for pectus excavatum","volume":"41","author":"Coln","year":"2006","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag433\/68757264\/rjag433.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/7\/rjag433\/68757264\/rjag433.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T03:57:19Z","timestamp":1783742239000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag433\/8732275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag433","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"rjag433"}}