Angiocardiographic demonstration of a partial defect of the pericardium with herniation of the left atrium and ventricle.
A case of a patient of 44 years of age with nonspecific thoracic symptomatology and anomalous protrusion of the second arch of the left border of the cardiac silhouette is reported. Cineangiocardiography showed a herniation of the left atrium and ventricle through a partial defect in the left pericardium demonstrating a mechanism that can give rise to sudden death by cardiac incarceration. Prophylactic longitudinal pericardiectomy was performed and the patient made an uneventful recovery.
D000328:Adult; D000790:Angiocardiography; D002932:Cineangiography; D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006547:Hernia / Q000151:congenital / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D010496:Pericardium / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery