Cardiac displacement with a congenital complete left-sided pericardial defect in a patient with exertional angina pectoris--a case report.
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.
Kojima
Sunao
S
Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Honjo, Kumamoto City, Japan.
Nakamura
Taishi
T
Sugiyama
Seigo
S
Sakamoto
Tomohiro
T
Yoshimura
Michihiro
M
Arima
Toshiaki
T
Suzuki
Ryusuke
R
Kawasuji
Michio
M
Ogawa
Hisao
H
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