Congenital Partial Absence of the Left Pericardium Associated With Tricuspid Regurgitation

Rashid, Abbas; Ahluwalia, Gurpal; Griselli, Massimo; Scheuermann-Freestone, Michaela; Neubauer, Stefan; Gaztoulis, Michael; Kilner, PJ; Shore, Darryl F.

doi:10.1016/j.athoracsur.2007.08.053

Cited by 6 publications

(6 citation statements)

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“…In partial pericardial defects, dilatation of the left atrial appendage or regional bulking of the left ventricle has frequently been reported . In extreme cases, displacement with partial herniation of the left ventricle leads to severe tricuspid regurgitation and dilatation of the right ventricle, which can lead to paradoxical movement of the septum . Nevertheless, the diagnostic key exam and gold standard for the diagnosis of pericardial defects remains cardiac magnetic resonance (CMR).…”

Section: Discussionmentioning

confidence: 99%

“…9 In extreme cases, displacement with partial herniation of the left ventricle leads to severe tricuspid regurgitation and dilatation of the right ventricle, which can lead to paradoxical movement of the septum. 20 Nevertheless, the diagnostic key exam and gold standard for the diagnosis of pericardial defects remains cardiac magnetic resonance (CMR). CMR allows accurate differentiation between partial and complete absence of the pericardium.…”

Section: Congenit Heart Dis 2013;8:e92-e98mentioning

confidence: 99%

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Sudden Cardiac Arrest Due to Subtotal Absence of Left-sided Pericardium-Case Report and Review of the Literature

et al. 2012

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Congenital absence of the pericardium is a very rare cardiac malformation, usually diagnosed fortuitously on autopsy or surgery. Symptoms related to these abnormalities are usually benign, and fatalities reported in the literature are almost exclusively secondary to herniation of the heart through a partial defect. We present the unusual case of a 44-year-old woman admitted for sudden cardiac arrest. Initial evaluation suggested acute anterior myocardial infarction, but further investigation ruled out coronary heart disease. No arrhythmia could be initiated on electrophysiological study, and absence of most of the left pericardium was confirmed by cardiac magnetic resonance imaging. After the exclusion of common etiologies such as idiopathic ventricular fibrillation, transient great vessel torsion due to hypermobility of the heart with secondary malignant arrhythmia was considered to be the most likely mechanism for the sudden cardiac arrest. A review of the available literature on clinical presentation, diagnostic tools, and therapeutic options is also presented.

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Section: Discussionmentioning

confidence: 99%

Section: Congenit Heart Dis 2013;8:e92-e98mentioning

confidence: 99%

Sudden Cardiac Arrest Due to Subtotal Absence of Left-sided Pericardium-Case Report and Review of the Literature

et al. 2012

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“…Described chest pain differ in severity, type, duration and frequency; however, pain can mimic coronary artery disease in some cases [1]. Probable causes of pain include impaction, ischemia or heart mobility due to the pericardial defect [1,7]. Interestingly, our case presented with palpitation for several years and only atypical chest pain in the recent three months.…”

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confidence: 90%

“…Brought to you by | MIT Libraries Authenticated Download Date | 5/12/18 12:39 PM such as bronchogenic cyst, pulmonary sequestration, hypoplasia of the left lung and left pulmonary artery, dextroisomerism, diaphragmatic hernia, hepatic hemangioendothelioma, ruptured type A aortic dissection, or tricuspid regurgitation [4][5][6][7][8]. There was no coexisting heart anomaly in our case.…”

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confidence: 99%

Congenital total absence of the pericardium: A case report

et al. 2010

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AbstractWe report the case of a 52-year-old woman who presented with a several-year history of palpitation (exacerbated by emotional stress and physical activity) and recent development of atypical chest pain. An investigation was undertaken to diagnose the patient’s problem and to recommend the best possible therapy. Transthoracic echocardiography and a computerized axial tomography scan showed evidence of complete absence of the pericardium, which is a rare congenital heart defect.

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“…Because this condition in asymptomatic patients is usually discovered through postmortem or incidental diagnosis, it is diffi cult to ascertain its total prevalence, and the isolated form of this congenital defect comprises only a portion of the 0.0001% to 0.044% prevalence of the reported cases [Van Son 1993]. Embryologically, pericardial absence is believed to originate from the agenesis of the left common cardiac vein, which is the precursor of the left pleuropericardial membrane [Van Son 1993;Rashid 2008].…”

Section: Commentmentioning

confidence: 99%

Off-Pump Coronary Artery Bypass in a Patient with Congenital Absence of the Left Pericardium and an Extremely Left-Rotated Heart

Beiras-Fernández

Sadoni²,

Michel³

et al. 2010

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Congenital anomalies of the pericardium are extremely rare and often difficult to diagnose. We describe a 66-year-old woman presenting with multivessel coronary artery disease and right heart insufficiency complicated by an extremely left-rotated heart due to a congenital absence of left pericardium. A multidetector row computerized tomographic study was performed to evaluate the torsion of the heart as well as the physical relationship between the left internal thoracic artery and the left coronary system. Off-pump coronary surgery was scheduled. Both the operative and postoperative courses were uneventful and the patient was discharged after 11 days.

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Congenital Partial Absence of the Left Pericardium Associated With Tricuspid Regurgitation

Cited by 6 publications

References 4 publications

Sudden Cardiac Arrest Due to Subtotal Absence of Left-sided Pericardium-Case Report and Review of the Literature

Sudden Cardiac Arrest Due to Subtotal Absence of Left-sided Pericardium-Case Report and Review of the Literature

Congenital total absence of the pericardium: A case report

Off-Pump Coronary Artery Bypass in a Patient with Congenital Absence of the Left Pericardium and an Extremely Left-Rotated Heart

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