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J Thorac Cardiovasc Surg 2002;123:353-354
© 2002 The American Association for Thoracic Surgery

Brief Communications

Intrapericardial diaphragmatic hernia and atrial septal defect in adults

Nejat Sariosmanoglu, MD, Eyüp Hazan, MD, Kivanç Metin, MD, Hakki Kazaz, MD, Öztekin Oto, MD Izmir, Turkey

From Dokuz Eylül University School of Medicine, Department of Thoracic and Cardiovascular Surgery, Izmir, Turkey.

Received for publication March 30, 2001. Accepted for publication April 8, 2001. Address for reprints: Nejat SariosmanoGlu, MD, Dokuz Eylül University School of Medicine, Department of Thoracic and Cardiovascular Surgery, 35340 Izmir, Turkey (E-mail: deucvs@medscape.com).

Congenital diaphragmatic herniation of the intestines into the pericardial cavity is an extremely uncommon condition in adults. Its association with atrial septal defect (ASD) has been reported in only 2 cases.Go Go 1,2 We recently encountered this condition in an adult patient.

Clinical summary
A 29-year old man was referred to our clinic because of dyspnea on effort, slight limitation of physical activity, and easy fatigability. On physical examination, a grade 2/6 ejection-type systolic murmur was present along the left sternal border. The second heart sound was split and fixed. A preoperative chest x-ray film showed cardiomegaly with a prominent pulmonary arterial segment and increased pulmonary vascularity. No sign of a diaphragmatic hernia was evident. Echocardiography revealed a 14-mm secundum-type ASD and reversed septal wall motion mimicking . . . [Full Text of this Article]




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[Abstract] [Full Text] [PDF]


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