Partial congenital defect of the left pericardium: angiographic diagnosis and treatment by thoracoscopic pericardiectomy: case report.
Congenital defects of the pericardium are extremely rare and frequently difficult to diagnose. We present a diagnosis of partial congenital defect of the left pericardium based on a characteristic chest X-ray and left ventriculogram. Additionally, we report findings of a diastolic, migratory coronary stenosis on coronary arteriography which, to date, has not been reported. Confirmation of the diagnosis by mediastinoscopy was followed by thoracoscopic pericardiectomy.
Rees
A P
AP
Department of Medicine, Ochsner Medical Institutions, New Orleans, Louisiana.
Risher
W
W
McFadden
P M
PM
Ramee
S R
SR
White
C J
CJ
D000328:Adult; D002932:Cineangiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging*; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology; D010492:Pericardiectomy / Q000379:methods*; D010496:Pericardium / Q000002:abnormalities*; D013906:Thoracoscopy