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Shigetsugu Ohgi
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Right arrow Pericardium

Ann Thorac Surg 2004;77:1069-1070
© 2004 The Society of Thoracic Surgeons

Case report

Congenital pericardial defect associated with ruptured type a aortic dissection

Naruto Matsuda, MDa*, Akira Marumoto, MDa, Hideki Nakashima, MDa, Yoshinobu Nakamura, MDa, Satoshi Kamihira, MDa, Shingo Ishiguro, MDa, Shigetsugu Ohgi, MDa

a Division of Cardiovascular Surgery, Department of Surgery, Tottori University School of Medicine, Tottori, Japan

Accepted for publication April 11, 2003.

* Address reprint requests to Dr Matsuda, Division of Cardiovascular Surgery, Tottori University School of Medicine, 36-1 Nishi-cho, Yonago, Tottori 683-8504, Japan
e-mail: amc-matsud{at}clubaa.com

Congenital pericardial defect is a rare and little-known anomaly. Here we describe the unique clinical presentation of a 64-year-old man with partial defect of the left pericardium associated with ruptured acute type A aortic dissection manifesting massive left hemothorax. In this patient, the pericardial defect played the role of a pericardial draining window, which incidentally prevented the heart from cardiac tamponade. Emergent surgery was successfully performed with a prosthetic graft replacement.






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Copyright © 2004 by The Society of Thoracic Surgeons.