Document Detail

Congenital complete absence of the pericardium mimicking myocardial infarction: a case report and literature review.
MedLine Citation:
PMID:  19947056     Owner:  NLM     Status:  MEDLINE    
We present a case of a 56-year-old white male with a medical history of hypertension,who initially presented with chest pain, diaphoresis, and electrocardiogram (ECG) changes suggesting myocardial infarction. Initial frontal radiograph showed marked displacement of the cardiac silhouette into the left hemithorax. Cardiac catheterization was performed per hospital protocol showing no evidence of cardiac or coronary disease, but demonstrated marked rotation of the heart and abnormal displacement of the heart into the left hemithorax. As both of these findings could not explain the patient's symptoms, computerized tomography angiography (CTA) of the chest was performed demonstrating congenital absence of the pericardium, a rare entity estimated to occur in one in 10,000 to 14,000 people.
Rishi Razdan; Sofiya Greenberg; Juan Carlos Perez Lozada; Guy Torstenson
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Connecticut medicine     Volume:  73     ISSN:  0010-6178     ISO Abbreviation:  Conn Med     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-12-01     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372745     Medline TA:  Conn Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-8     Citation Subset:  IM    
St. Vincents Medical Center, Department of Radiology, Bridgeport, USA.
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MeSH Terms
Diagnosis, Differential
Heart Defects, Congenital / diagnosis*
Middle Aged
Myocardial Infarction / diagnosis*
Pericardium / abnormalities*
Tomography, X-Ray Computed

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