Elsevier

The Annals of Thoracic Surgery

Volume 56, Issue 6, December 1993, Pages 1390-1391
The Annals of Thoracic Surgery

Case report
Thoracoscopic resection of pericardium for symptomatic congenital pericardial defect

https://doi.org/10.1016/0003-4975(93)90689-FGet rights and content

Abstract

Congenital defects of the pericardium are rare. Surgical treatment is recommended to relieve symptoms and to prevent cardiac herniation and strangulation. The case of a symptomatic perkardial defect due to a dynamic obstruction of the coronary arteries is described. The diagnosis was suggested by plain chest film, echocardiography, and cardiac catheterization. Confirmation and successful surgical management were accomplished by video-assisted thoracoscopic pericardiectomy.

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    2002, Journal of Pediatric Surgery
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    More recently, direct thoracoscopic closure of a partial defect was performed successfully in a 15-year old child.11 In a 44-year-old patient who presented with atypical chest pain, video-assisted thoracoscopic resection of the pericardium was performed and reduced the herniated left ventricle and atrial appendage.12 This defect usually is identified incidentally in infancy at the time of surgery for another cardiac defect or during assessment of atypical chest pain in adults.

  • Congenital foramen of the left pericardium

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    Today, two-dimensional echocardiography, contrast-enhanced computer assisted tomography (CT), transesophageal echocardiography, and magnetic resonance imaging (MRI) are most often employed [22, 34, 39]. Finally, thoracoscopy has been used to confirm the diagnosis after failure of CT and MRI to do so [38]. Thirty-four patients had surgery and, in all but 4, the diagnosis was suspected beforehand [12, 24–26].

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    1999, Revista Espanola de Cardiologia
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Presented at the Seventy-eighth Annual Clinical Congress of the American College of Surgeons, New Orleans, LA, Oct 12–15, 1992.

1

Doctor Risher's-5 current address is Department of Cardiothoracic Surgery, University of Rochester Medical Center, Rochester, NY.

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