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Ann Thorac Surg 1988;45:91-93
© 1988 The Society of Thoracic Surgeons

Articles

Congenital Absence of Pericardium: An Unusual Cause of Atypical Angina

James E. Chapman, Jr., M.D., Joseph W. Rubin, M.D., C.M.*, Charles M. Gross, M.D., Michael E. Janssen, D.O.

From the Section of Thoracic and Cardiac Surgery and the Section of Cardiology, Medical College of Georgia, Augusta, GA

Accepted for publication May 27, 1987.

* Address reprint requests to Dr. Rubin, Section of Thoracic and Cardiac Surgery, Medical College of Georgia, Augusta, GA 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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