title: Cardiac displacement with a congenital complete left-sided pericardial defect in a patient with exertional angina pectoris--a case report.
abstract: A 71-year-old man with exertional chest pain was admitted to the hospital. A chest roentgenogram exhibited levoposition of the heart. An electrocardiogram showed clockwise rotation in the precordial leads and ST depression in V6, V7, V8, and V9 as well as in II, III, aVF leads associated with chest pain in a treadmill exercise test. The congenital complete left-sided pericardial defect could not be diagnosed preoperatively, but it was confirmed by thoracotomy.
authors.affiliation: Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Honjo, Kumamoto City, Japan.
authors.forename: Sunao
authors.initials: S
authors.lastname: Kojima
authors.forename: Taishi
authors.initials: T
authors.lastname: Nakamura
authors.forename: Seigo
authors.initials: S
authors.lastname: Sugiyama
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sakamoto
authors.forename: Michihiro
authors.initials: M
authors.lastname: Yoshimura
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Arima
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Suzuki
authors.forename: Michio
authors.initials: M
authors.lastname: Kawasuji
authors.forename: Hisao
authors.initials: H
authors.lastname: Ogawa
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D005080:Exercise Test; D006801:Humans; D008297:Male; D010496:Pericardium / Q000002:abnormalities* / Q000000981:diagnostic imaging; D005082:Physical Exertion; D011859:Radiography; D013908:Thoracotomy; D014463:Ultrasonography