title: Coronary artery disease in a patient with a congenital pericardial defect.
abstract: This case report summarizes our experience with a 43 year old male patient with congenital pericardial defect, involving the left ventricular part of the pericardium, and additionally 2-vessel coronary-artery disease in the absence of any coronary risk factors. This patient underwent coronary-artery bypass grafting. Intraoperatively the heart was found to be rotated and herniated into the left pleural cavity, strangulated by the remaining pericardium causing a bridle stricture of the right as well as the left margin of the heart, with a subsequent local narrowing of the ventricle in these areas. Furthermore, assessment of the coronary arteries at operation by external palpation showed the location of an RCA- and LAD-stenosis to match exactly with the stricture area.
authors.affiliation: Department of Cardiovascular Surgery, University of Freiburg, FRG.
authors.forename: A
authors.initials: A
authors.lastname: Amiri
authors.forename: C
authors.initials: C
authors.lastname: Weber
authors.forename: V
authors.initials: V
authors.lastname: Schlosser
authors.forename: T H
authors.initials: TH
authors.lastname: Meinertz
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D010496:Pericardium / Q000002:abnormalities* / Q000601:surgery; D012307:Risk Factors