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Ann Thorac Surg 2001;72:1371-1373
© 2001 The Society of Thoracic Surgeons

Case report

Congenital pericardial defect and concomitant coronary artery disease

Duc Q. Nguyen, MDa, Robert F. Wilson, MDb, R. Morton Bolman, III, MDa, Soon J. Park, MDa

a Division of Cardiovascular and Thoracic Surgery, University of Minnesota Hospital and Clinics, Minneapolis, Minnesota, USA
b Division of Cardiology, University of Minnesota Hospital and Clinics, Minneapolis, Minnesota, USA

Accepted for publication November 13, 2000.

Address reprint requests to Dr Park, Division of Cardiovascular and Thoracic Surgery, University of Minnesota, MMC #207, 420 Delaware St SE, Minneapolis, MN 55455
e-mail: parkx021{at}maroon.tc.umn.edu

Chest pain is the most common presenting symptom among patients with congenital pericardial defects. A delay in diagnosis of a congenital pericardial defect occurred in a patient because he had concomitant atherosclerotic coronary artery disease. Multiple radiological studies had suggested the diagnosis. The pericardial defect caused myocardial ischemia by obstructing flow in three coronary arteries. Surgical repair of the pericardial defect along with coronary artery bypass grafting was performed to correct the problem.




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