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J Thorac Cardiovasc Surg 1995;109:805-807
© 1995 Mosby, Inc.

BRIEF COMMUNICATIONS

Congenital total absence of the pericardium: Case report of a 72-year-old man and review of the literature

Ayman J. Hammoudeh, MD, Michael E. Kelly, MD, FACC, Haroutune Mekhjian, MD, FACS, FACC


Paterson and South Orange, N.J.

From the Departments of Cardiology and Cardiothoracic Surgery, Saint Joseph's Hospital and Medical Center, Paterson, N.J., and Seton Hall University School of Graduate Medical Education, South Orange, N.J.

Congenital absence of the pericardium (CAP) is rarely encountered during clinical practice. Most patients remain free of symptoms, and the diagnosis is made intraoperatively or at postmortem examination. Go 1 Some cases have been diagnosed by various imaging techniques, ranging from plain x-ray films to nuclear magnetic resonance. We report the case of a man with coronary artery disease (CAD) who underwent stress thallium scan. The scintigraphic images showed abnormal left ventricular (LV) orientation and levorotation. Intraoperatively, CAP was diagnosed.

CASE REPORT

This 72-year-old man with hypertension reported episodic chest pain, dyspnea, and palpitations for about 20 years. Coronary angiography and cardiac catheterization in May 1993 revealed triple-vessel CAD and mild aortic stenosis. Because the major coronary lesions were mostly distal in location, medical management was undertaken. Chest pain recurred 2 months later and stress . . . [Full Text of this Article]






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