Pediatric Heart Expert Forum
Poland's Syndrome and echocardiogram?
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Poland's Syndrome and echocardiogram?

My 18 month old son was recently diagnosed with Poland's Syndrome.  We were told there may be other anomalies associated with this and to have things further checked out (kidneys, liver, heart, etc.)  Do we need to have an echocardiogram to check for any heart abnormalities that may be associated with Poland's?  I don't think our family doctor knows for sure which things should be checked.  The Doctor who diagnosed him was an Orthopedic surgeon.  He didn't do any further testing, but I feel like there is more that needs to be checked.  
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Dear KettlerJ,

Poland syndrome, which is unilateral absence or underdevelopment of the pectoralis major and minor muscles, can be associated with a couple of cardiac findings, though usually not. They can have atrial septal defects and they can have dextrocardia, meaning the heart is rotated to the right side of the chest.  An echocardiogram is recommended for evaluation of patients with Poland syndrome.  However, if it is normal, there are no specific cardiac abnormalities which are found to subsequently develop.
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Marie M Gleason, M.D.Blank
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The Children’s Hospital of Philadelphia
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