Congenital absence of the left pericardium: a case report
Abstract Background Congenital absence of the pericardium (CAP) is rare in clinical practice, the symptoms vary among patients, and most doctors do not have enough knowledge of the condition. Most reported CAP cases are incidental findings. Therefore, this case report aimed to present a rare case of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-023-03262-3 |
| _version_ | 1797827704780750848 |
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| author | Xiang-Yi Li Yan Jiang Hao-Wen Li Yong-Kang Liu Jing Bai |
| author_facet | Xiang-Yi Li Yan Jiang Hao-Wen Li Yong-Kang Liu Jing Bai |
| author_sort | Xiang-Yi Li |
| collection | DOAJ |
| description | Abstract Background Congenital absence of the pericardium (CAP) is rare in clinical practice, the symptoms vary among patients, and most doctors do not have enough knowledge of the condition. Most reported CAP cases are incidental findings. Therefore, this case report aimed to present a rare case of left partial CAP that presented with non-specific, possibly cardiac-related symptoms. Case presentation The patient, male, 56 years old, Asian, was admitted on March 2, 2021. The patient complained of occasional dizziness in the past week. The patient was suffering from hyperlipidemia and hypertension (stage 2), both untreated. The patient reported chest pain, palpitations, discomfort in the precordium, and dyspnea in the lateral recumbent position after strenuous activities, all of which started when he was about 15 years old. ECG showed sinus rhythm, 76 bpm, premature ventricular beats, incomplete right bundle branch block, and clockwise rotation of the electrical axis. Most of the ascending aorta could be detected in the parasternal intercostal space 2–4 by transthoracic echocardiography in the left lateral position. Chest computed tomography revealed the absence of pericardium between the aorta and the pulmonary artery, and part of the left lung was extending into the space. No changes in his condition have been reported up to now (March 2023). Conclusions CAP should be considered when multiple examinations suggest heart rotation and a large moving range of the heart in the thoracic cavity. |
| first_indexed | 2024-04-09T12:52:37Z |
| format | Article |
| id | doaj.art-5a0294813a2f4a45a50c87d4ca468dc3 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-09T12:52:37Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-5a0294813a2f4a45a50c87d4ca468dc32023-05-14T11:07:40ZengBMCBMC Cardiovascular Disorders1471-22612023-05-012311410.1186/s12872-023-03262-3Congenital absence of the left pericardium: a case reportXiang-Yi Li0Yan Jiang1Hao-Wen Li2Yong-Kang Liu3Jing Bai4Ultrasonic Department, China Aerospace Science & Industry Corporation 731 HospitalUltrasonic Department, China Aerospace Science & Industry Corporation 731 HospitalUltrasonic Department, China Aerospace Science & Industry Corporation 731 HospitalAnoRectal Surgery, China Aerospace Science & Industry Corporation 731 HospitalUltrasonic Department, China Aerospace Science & Industry Corporation 731 HospitalAbstract Background Congenital absence of the pericardium (CAP) is rare in clinical practice, the symptoms vary among patients, and most doctors do not have enough knowledge of the condition. Most reported CAP cases are incidental findings. Therefore, this case report aimed to present a rare case of left partial CAP that presented with non-specific, possibly cardiac-related symptoms. Case presentation The patient, male, 56 years old, Asian, was admitted on March 2, 2021. The patient complained of occasional dizziness in the past week. The patient was suffering from hyperlipidemia and hypertension (stage 2), both untreated. The patient reported chest pain, palpitations, discomfort in the precordium, and dyspnea in the lateral recumbent position after strenuous activities, all of which started when he was about 15 years old. ECG showed sinus rhythm, 76 bpm, premature ventricular beats, incomplete right bundle branch block, and clockwise rotation of the electrical axis. Most of the ascending aorta could be detected in the parasternal intercostal space 2–4 by transthoracic echocardiography in the left lateral position. Chest computed tomography revealed the absence of pericardium between the aorta and the pulmonary artery, and part of the left lung was extending into the space. No changes in his condition have been reported up to now (March 2023). Conclusions CAP should be considered when multiple examinations suggest heart rotation and a large moving range of the heart in the thoracic cavity.https://doi.org/10.1186/s12872-023-03262-3PericardiumAbsence of pericardiumCongenital heart defectsCase report |
| spellingShingle | Xiang-Yi Li Yan Jiang Hao-Wen Li Yong-Kang Liu Jing Bai Congenital absence of the left pericardium: a case report BMC Cardiovascular Disorders Pericardium Absence of pericardium Congenital heart defects Case report |
| title | Congenital absence of the left pericardium: a case report |
| title_full | Congenital absence of the left pericardium: a case report |
| title_fullStr | Congenital absence of the left pericardium: a case report |
| title_full_unstemmed | Congenital absence of the left pericardium: a case report |
| title_short | Congenital absence of the left pericardium: a case report |
| title_sort | congenital absence of the left pericardium a case report |
| topic | Pericardium Absence of pericardium Congenital heart defects Case report |
| url | https://doi.org/10.1186/s12872-023-03262-3 |
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