Congenital absence of pericardium: two cases and a comprehensive review of the literature

Sergio, Pietro; Bertella, Erika; Muri, Margherita; Zangrandi, Ilaria; Ceruti, Paolo; Fumagalli, Franco; Bosio, Giancarlo

doi:10.1259/bjrcr.20180117

Cited by 7 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Congenital absence of pericardium is often difficult to diagnose, and it has no specific symptoms and signs, so it is often ignored. CAP has certain imaging diagnostic features ( 6 , 7 ): (1) pulmonary parenchyma between the main pulmonary artery and the ascending aorta; (2) pulmonary parenchyma between the base of the heart and the left diaphragmatic muscle; (3) pulmonary parenchyma between the ascending main aorta and the right pulmonary artery; (4) “SNOOPY” sign on chest radiograph. Even so, it is still very difficult to clinically diagnose CAP.…”

Section: Discussionmentioning

confidence: 99%

Case report: Delayed cardiac rupture with congenital absence of pericardium after blunt trauma

Shen¹,

He²,

Tang³

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

A 66 years old male was admitted to our hospital after a serious car accident. The patient presented with severe shock after admission. After the examination, the patient was diagnosed with hemopneumothorax and myocardial contusion, accompanied by spleen rupture. After emergency surgery and a series of symptomatic treatments, the patient’s condition gradually stabilized. One week later, the patient suddenly presented with severe shock. Massive hemothorax was found on the left side of the chest. Surgical exploration revealed cardiac rupture and accidental absence of congenital pericardium. According to the literature review, congenital absence of pericardium (CAP) is relatively rare. Although there are certain imaging features, the clinical diagnosis is very difficult. However, this patient did not show the characteristics in the literature and had some other atypical features. The role of CAP in the occurrence and development of the patient’s heart injury and rupture is worthy of discussion. What we learned from this case is that we should look for potential risks in the telltale signs of a patient’s condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Case report: Delayed cardiac rupture with congenital absence of pericardium after blunt trauma

Shen¹,

He²,

Tang³

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…The most frequent defect is the left side absence of the pericardium while right side defects and complete agenesis are quite rare (Abbas et al 2005;Southworth and Stevenson 1938). Partial defects are rarer but of clinical importance as they can cause myocardial strangulation and death; however, they are usually asymptomatic or paucisymptomatic (Rehkämper et al 2017;Centola et al 2009;Sergio et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Unexpected death in a newborn due to a congenital partial pericardial defect: a case report

Prado

Fernandes²,

Tavares³

2022

Egypt J Forensic Sci

View full text Add to dashboard Cite

Background Pericardial defects are rare anatomical variations that can present as an isolated variation or be associated with other conditions. They are usually asymptomatic and misdiagnosed conditions, and given their rarity, partial pericardial defects can have devastating outcomes. The sudden death of an apparently healthy newborn certainly raises concerns, and a medico-legal investigation is crucial in establishing the cause of death. This case report highlights the importance of awareness on the part of obstetric professionals of the lethal outcomes of pericardial partial congenital defects. This case also demonstrates the difficulty of establishing a correct diagnosis. Case presentation The autopsy of a 15-h-old neonate revealed a partial pericardial defect ending in a biventricular strangulation by the defective pericardium. Other findings, such as the patency of the arterial ductus, a subarachnoid hemorrhage, and aspiration of amniotic fluid, were also reported. Conclusions Although imaging techniques have evolved, fetal detection of cardiac abnormalities can be tricky, especially when occurring as an isolated variation.

show abstract

“…In addition, there are congenital abnormalities outside the heart, such as bronchogenic cyst reported in this case, as well as pulmonary isolation, and diaphragmatic hernia. Congenital pericardial defect is also associated with abnormal pulmonary anatomy, such as the presence of pulmonary parenchyma between the pulmonary artery and aorta[ 21 ]. Imperatori et al [ 19 ] has reported 18 cases of bronchogenic cyst with congenital pericardial defect.…”

Section: Discussionmentioning

confidence: 99%

Mature mediastinal bronchogenic cyst with left pericardial defect: A case report

Zhu¹,

Zhang²,

Zhen³

et al. 2021

WJCC

View full text Add to dashboard Cite

BACKGROUND Mediastinal bronchogenic cysts and pericardial defects are both rare. It is extremely rare that both occur simultaneously. To the best of our knowledge, this is the first case of a coexistent bronchogenic cyst and pericardial defect reported in China. We performed a literature review and found a relationship between bronchogenic cysts and pericardial defects, which further revealed the correlation between the bronchus and pericardium during embryonic development. CASE SUMMARY A 14-year-old boy attended a local hospital for ankylosing spondylitis. Chest radiography showed an enhanced circular-density shadow near the left mediastinum. The patient had no chest symptoms and the physical examination was normal. Because of the mediastinal occupation, the patient visited our department of chest surgery for further treatment. During surgery, a left pericardial defect was observed. The bronchogenic cyst was removed by thoracoscopic surgery, but the pericardial defect remained untreated, and a satisfactory outcome was achieved after the operation. The patient was diagnosed with a mediastinal tumor. The pathological diagnosis of the tumor was a bronchogenic cyst. CONCLUSION This case further reveals the correlation between the bronchus and pericardium during embryonic development.

show abstract

Congenital absence of pericardium: two cases and a comprehensive review of the literature

Cited by 7 publications

References 12 publications

Case report: Delayed cardiac rupture with congenital absence of pericardium after blunt trauma

Case report: Delayed cardiac rupture with congenital absence of pericardium after blunt trauma

Unexpected death in a newborn due to a congenital partial pericardial defect: a case report

Mature mediastinal bronchogenic cyst with left pericardial defect: A case report

Contact Info

Product

Resources

About