Congenital Absence of the Pericardium

Hutchison, Stuart J.; Rudakewich, Gail; Rudakewich, Myra

doi:10.1016/b978-1-4160-5274-6.50017-4

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2014

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“…The chest radiograph and echocardiogram are very useful in suggesting the diagnosis, which is usually confirmed with cardiac MRI or computed tomography. Rather than documenting the absence of the pericardium itself (which can be very challenging in the absence of adjacent fat), these techniques establish the diagnosis by showing indirect signs that are considered pathognomonic of this condition, such as the interposition of lung tissue between the aorta and the pulmonary artery and between the diaphragm and the inferior surface of the heart 3 . Prognosis is usually benign, and most cases are managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

Congenital absence of pericardium: a nomad heart

2014

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Congenital pericardial absence is a rare cardiac defect. Although most patients are asymptomatic, recognising this condition is clinically important as it can cause serious complications. We report the case of an asymptomatic 33-year-old woman seeking medical attention due to a family history of sudden cardiac death. The investigation led us to the diagnosis of congenital absence of the pericardium. The role of imaging in the diagnosis of this rare cardiac malformation is briefly discussed.

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Section: Discussionmentioning

confidence: 99%