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Congenital absence of the pericardium.

Kim HJ, Cho YS, Cho GY, Choi SI - J Cardiovasc Ultrasound (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

A: Electrocardiogram demonstrating normal sinus rhythm with left deviation of the heart axis. B: Bulging contour of the left superior cardiac border. C: Apical four chamber view: echocardiography showed a laterally displaced left ventricular apex. D: The cardiac CT revealed absence of the pericardium at the left side of the heart (yellow arrows).
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Figure 3: A: Electrocardiogram demonstrating normal sinus rhythm with left deviation of the heart axis. B: Bulging contour of the left superior cardiac border. C: Apical four chamber view: echocardiography showed a laterally displaced left ventricular apex. D: The cardiac CT revealed absence of the pericardium at the left side of the heart (yellow arrows).

Mentions: A 71-year-old male patient presented with a history of dyspnea on exertion. He reported atypical chest pain and shortness of breath. He suffered from asthma and was taking medication. Medical and family histories were otherwise unremarkable. He was a current, 100 pack-year smoker. On examination, his blood pressure was 120/70 mmHg. Regular heart rhythm without murmur and clear breath sounds were heard on auscultation. A 12-lead ECG showed normal sinus rhythm, with a heart rate of 73 bpm and left deviation of the heart axis (Fig. 3A). Q-waves were seen in leads II, aVF, V1, V2, and V3. Chest radiography showed bulging contour of the left superior cardiac border (Fig. 3B). Due to his symptoms, abnormal chest radiography, and ECG, the patient underwent an echocardiogram and heart CT. The echocardiography revealed a laterally displaced LV apex that was highly suggestive of congenital absence of the pericardium (Fig. 3C). It also showed an enlarged LV cavity with mild global hypokinesia without regional wall motion abnormality. Valvular morphology and function were normal, and the estimated LV ejection fraction was 47%. The cardiac CT revealed absence of the pericardium at the left side of the heart without evidence of associated anomaly such as atrial septal defect or ventricular septal defect (Fig. 3D). The patient was diagnosed with congenital absence of the left pericardium.


Congenital absence of the pericardium.

Kim HJ, Cho YS, Cho GY, Choi SI - J Cardiovasc Ultrasound (2014)

A: Electrocardiogram demonstrating normal sinus rhythm with left deviation of the heart axis. B: Bulging contour of the left superior cardiac border. C: Apical four chamber view: echocardiography showed a laterally displaced left ventricular apex. D: The cardiac CT revealed absence of the pericardium at the left side of the heart (yellow arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3992347&req=5

Figure 3: A: Electrocardiogram demonstrating normal sinus rhythm with left deviation of the heart axis. B: Bulging contour of the left superior cardiac border. C: Apical four chamber view: echocardiography showed a laterally displaced left ventricular apex. D: The cardiac CT revealed absence of the pericardium at the left side of the heart (yellow arrows).
Mentions: A 71-year-old male patient presented with a history of dyspnea on exertion. He reported atypical chest pain and shortness of breath. He suffered from asthma and was taking medication. Medical and family histories were otherwise unremarkable. He was a current, 100 pack-year smoker. On examination, his blood pressure was 120/70 mmHg. Regular heart rhythm without murmur and clear breath sounds were heard on auscultation. A 12-lead ECG showed normal sinus rhythm, with a heart rate of 73 bpm and left deviation of the heart axis (Fig. 3A). Q-waves were seen in leads II, aVF, V1, V2, and V3. Chest radiography showed bulging contour of the left superior cardiac border (Fig. 3B). Due to his symptoms, abnormal chest radiography, and ECG, the patient underwent an echocardiogram and heart CT. The echocardiography revealed a laterally displaced LV apex that was highly suggestive of congenital absence of the pericardium (Fig. 3C). It also showed an enlarged LV cavity with mild global hypokinesia without regional wall motion abnormality. Valvular morphology and function were normal, and the estimated LV ejection fraction was 47%. The cardiac CT revealed absence of the pericardium at the left side of the heart without evidence of associated anomaly such as atrial septal defect or ventricular septal defect (Fig. 3D). The patient was diagnosed with congenital absence of the left pericardium.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Korea. ; Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus