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Ann Thorac Surg 1994;57:1651-1653
© 1994 The Society of Thoracic Surgeons

Articles

Intrapericardial diaphragmatic hernia, atrial septal defect, and severe episodic cyanosis

William W. Shely, MD, Robert D. Loitz, MD, Arthur H. Fox, MD, Winfield J. Wells, MD*

Department of Cardiovascular Surgery, University of Southern California School of Medicine, Childrens Hospital Los Angeles, Los Angeles, California, USA

Accepted for publication October 6, 1993.

* Address reprint requests to Dr Wells, Childrens Hospital LA, 4650 Sunset Blvd, Mail Stop 66, Los Angeles, CA 90027.

Congenital diaphragmatic herniation into the pericardial cavity is extremely rare. We report a case associated with an ostium secundum atrial septal defect and normal pulmonary vascular resistance, which resulted in severe episodic cyanosis.




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