Late cardiac strangulation due to an iatrogenic pericardial defect.
A 14-year-old boy developed broad posterolateral myocardial infarction. During cardiac surgery at age five, a small pericardial window had been made. Autopsy revealed an extensive left-sided pericardial defect and necrosis of the left ventricular free wall, which had herniated and strangulated through the enlarged pericardial defect.
Ohshima
H
H
Center for Cardiovascular Disease, Mitsui Memorial Hospital, Tokyo, Japan.
Takeuchi
H
H
Yamaguchi
T
T
Takanashi
R
R
Tsunoda
K
K
D000293:Adolescent; D004562:Electrocardiography; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006547:Hernia / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D010491:Pericardial Window Techniques / Q000009:adverse effects*