Congenital absence of pericardium revisited (original) (raw)
Related papers
Partial Congenital Absence of The Pericardium: A Case Report
Brazilian Journal of Cardiovascular Surgery
The complete or the partial absence of pericardium is a rare congenital malformation for which the patients are commonly asymptomatic and the diagnosis is incidental. The absence of the left side of the pericardium is the most common anomaly that is reported in the literature while the complete absence of pericardium or the absence of the right side of the pericardium are uncommon and their criteria are still unrecognized given their rare occurrence in clinical practice. This paper aims to report a case of 19-year-old male with the congenital partial absence of both sides of the pericardium and to highlight the symptoms and the different cardiac imaging modalities used to confirm the diagnosis of this defect.
Congenital Absence of pericardium
Nepalese Heart Journal, 2013
A 30-year-old physically active male presented to us for evaluation of left sided chest pain which was non-exertional in nature. He described it as being of pricking type and non-radiating .His past history was not significant. Physical examination revealed a non-palpable apical impulse with no other abnormal findings.
Partial Congenital Absence of Pericardium
Revista Brasileira de Cardiologia Invasiva English Version, 2012
Agenesis of the pericardium is a rare congenital anomaly, which is difficult to diagnose. We report a case of a 42-yearold patient, with atypical chest pain, electrocardiogram with an incomplete right bundle branch block, chest X-ray with a counterclockwise heart axis deviation and echocardiogram suggesting right ventricle volume overload. Cardiac catheterization showed no intracardiac shunts, and rotation and displacement of the heart into the left hemithorax. Magnetic nuclear resonance imaging confirmed the diagnosis by revealing partial absence of the left pericardium, with interposition of lung parenchyma between the main pulmonary artery and the aorta.
Radiology Case Reports
This case report describes a 40-year-old male who presented to the emergency department (ED) with chest pain. Initial diagnostic workup was concerning for a congenital cardiac anomaly, further imaging revealed complete congenital absence of the pericardium (CAP) which is a rare condition. Multimodality cardiac imaging including cardiac computed tomography angiogram (CCTA) was used to confirm the diagnosis of CAP. We briefly discuss various clinical presentations of CAP along with potential complications and other anomalies that could be associated with pericardial agenesis.
Journal of Cardiovascular Medicine
Congenital absence of pericardium is an uncommon cardiac defect with variable clinical presentations. The detection of this malformation is clinically relevant because of potential complications such as fatal myocardial strangulation, myocardial ischemia and sudden death. Physical examination, chest radiograph and ECG are not helpful for the diagnosis. Echocardiography may accurately identify abnormalities in myocardial wall motion and in cardiac silhouette that may strongly suggest the diagnosis that is confirmed by magnetic resonance imaging (MRI) or computed tomography scan. A case presentation and a review of the literature with emphasis on the role of echocardiography are presented.
Congenital complete absence of pericardium presenting with chest pain: MRI characteristics
International Archives of Medicine, 2016
Congenital absence of the pericardium is a very rare anomaly which has an incidence of 1 in 14000 cases in autopsy studies. Defects in the pericardium are either partial or complete with complete defects having a much benign course than partial defects. Partial defects are associated with complications like strangulation of a herniated cardiac chamber or coronary artery stenosis from external compression. Absence of the left pericardium is the most frequently encountered type of defect which accounts for 2/3 of the cases. We herein report a case of complete absence of the entire pericardium which is an extremely rare subtype with associated Cardiac magnetic resonance images.
Congenital complete absence of pericardium in a young woman with non-specific symptoms
Revista Portuguesa de Cardiologia, 2014
Congenital absence of the pericardium is a very rare entity that is usually asymptomatic and hence difficult to diagnose. However, cases of sudden death have been reported in patients with partial pericardial defects (even asymptomatic ones), and such patients require surgical treatment. We report the case of a 17-year-old patient with complete pericardial agenesis (diagnosed by chance during a cardiological consultation) and briefly review the radiological findings of this entity.
Congenital complete and partial absence of the left pericardium
Wiener Medizinische Wochenschrift, 2013
Kongenitale komplete und partielle Absenz des Perikardiums Zusammenfassung Das kongenitale Fehlen des Perikards ist eine seltene Fehlbildung. Wir zeigen diese Diagnose anhand der Kasuistiken zweier junger Männer. Bei der posteroanterioren Röntgendarstellung der Brust wurde eine Verschiebung der linken Herzgrenze in den linken Hemitorax festgestellt. Ungewöhnliche akustische Fenster und abnormale Herz-und septale Bewegungen während der Echokardiographie wiesen auf die Diagnose der kongenitalen Absenz des Perikardiums hin. Die Magnetresonanzuntersuchungen bestätigten endgültig die Diagnose.