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The Annals of Thoracic Surgery, Vol 45, 91-93, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Congenital absence of pericardium: an unusual cause of atypical angina

JE Chapman Jr, JW Rubin, CM Gross and ME Janssen
Section of Thoracic and Cardiac Surgery, Medical College of Georgia, Augusta 30912-2423.

Congenital defects of the pericardium are unusual. Patients may experience exertional chest pain, cardiac arrhythmias, syncope, sudden death, or incarceration of myocardium, or they may be entirely asymptomatic. We describe the case of a symptomatic pericardial herniation diagnosed by echocardiography and confirmed by cineangiography. Successful repair was accomplished using a polytetrafluoroethylene soft-tissue prosthesis.

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