Heart hump

In the case of a heart hump, there is a protrusion of the anterior thoracic wall (Holldack 2005) to the left of the sternum in the area of the 4th - 6th rib, usually as a sign of a congenital heart defect (Gruber 2019).

The enlargement of the heart leads to a heart hump (Speer 2009).

In most cases, a sub- or left-sternal heart hump is caused by right ventricular hypertrophy (Kretz 2002). Sometimes sub- or left-thoracic pulsations are visible (Apitz 2002).

The left thoracic heart hump is caused by a strain on the right ventricle or a strain on both ventricles (Apitz 1998). Under physical stress, a cardiac spike is usually visible (Apitz 2002).

Since the age of pediatric cardiac surgery, it is very rare to see a heart hump (Füeßl 2005).

A heart hump can occur in the following diseases, for example:

- Ventricular septal defect (Holldeck 2005)

- AVSD (Herold 2022)

In this case, the heart hump develops very quickly (Apitz 2002)

- Tetralogy of Fallot (Füeßl 2010)

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In this disease, the heart hump usually develops after the age of 1 year (Apitz 2002)

- Truncus arteriosus communis

In this case, a left-sided heart hump only develops after a longer period of time (Apitz 2002).

A heart hump often occurs in combination with the non-rachitic Harrsison's furrow (Boeckel 2022)

Treatment of the triggering disease.

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2. Apitz J (2002) Pediatric cardiology: diseases of the heart in newborns, infants, children and adolescents. Springer Verlag Berlin / Heidelberg 42, 358, 368, 438
3. Boeckel T (2022) Heart hump. Pschyrembel online
4. Füeßl H S, Middeke M (2010) Anamnesis and clinical examination. Dual series. Georg Thieme Verlag Stuttgart 189
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6. Gruber G, Hansch A (2019) Blickdiagnosen Innere Medizin: Vom visuellen Leitsymptom zur Diagnose. Elsevier Urban and Fischer Publishers 198
7. Herold G et al. (2022) Internal medicine. Herold Publishing House 191
8. Holldack K et al. (2005) Auscultation and percussion, inspection and palpation. Georg Thieme Publishers 57
9. Kasper D L, Fauci A S, Hauser S L, Longo D L, Jameson J L, Loscalzo J et al. (2015) Harrison's Principles of Internal Medicine. Mc Graw Hill Education
10. Kretz F J, Beushausen T (2002) Das Kinder Notfall Intensivbuch: Lebensrettendes Know- How. Elsevier Urban und Fischer Verlag 13
11. Speer C P, Gahr M (2009) Pediatrics. Springer Medizin- Verlag Heidelberg 517