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Ann Thorac Surg 2007;83:1552-1553
© 2007 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, Papworth Hospital, Cambridge, United Kingdom
b Department of Anesthesia, Papworth Hospital, Cambridge, United Kingdom
Accepted for publication October 24, 2006.
* Address correspondence to Dr Large, Department of Cardiac Surgery, Papworth Hospital, Cambridge, CB3 8RE United Kingdom (Email: stephen.large{at}papworth.nhs.uk).
Congenital defects of the pericardium are rare, but when they are reported they are frequently associated with other cardiac lesions. We describe a case of partial pericardial defect found incidentally at surgery for closure of an ostium primum atrial septal defect. Proposed mechanisms of pericardial defect development are discussed and we suggest that associations with congenital and acquired heart disease are mostly circumstantial.
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