Coronary artery disease in a patient with a congenital pericardial defect.
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.
Amiri
A
A
Department of Cardiovascular Surgery, University of Freiburg, FRG.
Weber
C
C
Schlosser
V
V
Meinertz
T H
TH
D000328:Adult; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D010496:Pericardium / Q000002:abnormalities* / Q000601:surgery; D012307:Risk Factors