Congenital Complete Absence of the Pericardium

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Congenital complete absence of the pericardium.

A38-year-old woman with ill-defined chest pain had an abnormal x-ray 8 years before her only pregnancy. She had been unable to bear down during delivery, but gestation was otherwise uncomplicated, yielding a normal female offspring. She subsequently experienced left-sided chest pain that awakened her from sleep when turning into either a right or left lateral decubitus position. The pain was pu...

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Congenital Absence of the Pericardium

Congenital absence of the pericardium is a rare cardiac malformation and is most often asymptomatic. It is usually discovered as an incidental finding. Physical examination, chest radiography, and electrocardiogram are often unremarkable. Echocardiography provides valuable information, and sometimes computed tomography or magnetic resonance imaging is needed for subsequent confirmation.

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Congenital absence of the pericardium

A 71-year-old male presented with atypical chest pain and dilatation of the right ventricle on echocardiography and was referred for cardiac magnetic resonance imaging (CMR) for suspected arrhythmogenic right ventricular cardiomyopathy. CMR showed marked posterior and leftward displacement of the heart, with the apex extending to the left lateral chest wall. Spin echo imaging showed thin perica...

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Congenital absence of the pericardium.

A37-year-old, physically active man presented for evaluation of nonexertional chest pain. He described it as sharp, left-sided, and nonradiating. The review of systems was unremarkable. He had had no previous thoracic surgery. Physical examination revealed a nonpalpable apical impulse, with no other abnormal findings. A chest radiograph (Figure 1) demonstrated a prominent pulmonary artery shado...

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Congenital complete absence of left pericardium. Report of two cases.

Congenital absence of the pericardium is rare. In 7,500 necropsies cross-indexed since 1949 in the Department of Pathology, University of Otago, none was recorded, while in 12,000 recorded necropsies since 1921, only one was seen (D'Ath, 1969). The defect may be partial or complete. Though first described by Realdus Columbus in 1559, and thereafter noted as an unusual necropsy finding (Rusby an...

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ژورنال

عنوان ژورنال: Circulation

سال: 2001

ISSN: 0009-7322,1524-4539

DOI: 10.1161/hc2501.092237