Skip to main content
Thorax logoLink to Thorax
. 1969 Nov;24(6):756–761. doi: 10.1136/thx.24.6.756

Congenital complete absence of left pericardium Report of two cases

John Borrie 1,2
PMCID: PMC472085  PMID: 5350727

Abstract

Two cases of congenital complete absence of the left pericardium are presented. One, in a youth aged 17 years, had an associated patent ductus arteriosus; the other occurred in a woman aged 65 years with carcinoma of the lower third of the oesophagus. In both, the pericardial lesion was discovered as an incidental finding—at thoracotomy. The anatomical and radiographic features are described. Complete absence of the left side of the pericardium needs no surgical treatment and is compatible with normal life expectancy. On the other hand, because of the dangers of herniation of the heart with strangulation, partial defects should be closed, using either mediastinal pleura or fabric such as Dacron or Teflon.

Full text

PDF
756

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BAKER W. P., SCHLANG H. A., BALLENGER F. P. CONGENITAL PARTIAL ABSENCE OF THE PERICARDIUM. Am J Cardiol. 1965 Jul;16:133–136. doi: 10.1016/0002-9149(65)90019-6. [DOI] [PubMed] [Google Scholar]
  2. BROCK R., WHYTEHEAD L. L. Radical pneumonectomy for bronchial carcinoma. Br J Surg. 1955 Jul;43(177):8–24. doi: 10.1002/bjs.18004317703. [DOI] [PubMed] [Google Scholar]
  3. ELLIS K., LEEDS N. E., HIMMELSTEIN A. Congenital deficiencies in the parietal pericardium: a review with 2 new cases including successful diagnosis by plain roentgenography. Am J Roentgenol Radium Ther Nucl Med. 1959 Jul;82(1):125–137. [PubMed] [Google Scholar]
  4. HERING A. C., WILSON J. S., BALL R. E., Jr Congenital deficiency of the pericardium. J Thorac Cardiovasc Surg. 1960 Jul;40:49–55. [PubMed] [Google Scholar]
  5. JONES P. Developmental defects in the lungs. Thorax. 1955 Sep;10(3):205–213. doi: 10.1136/thx.10.3.205. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. KAVANAGH-GRAY D., MUSGROVE E., STANWOOD D. Congenital pericardial defects. Report of a case. N Engl J Med. 1961 Oct 5;265:692–694. doi: 10.1056/NEJM196110052651408. [DOI] [PubMed] [Google Scholar]
  7. MOORE T. C., SHUMACKER H. B., Jr Congenital and experimentally produced pericardial defects. Angiology. 1953 Feb;4(1):1–11. doi: 10.1177/000331975300400101. [DOI] [PubMed] [Google Scholar]
  8. MUKERJEE S. CONGENITAL PARTIAL LEFT PERICARDIAL DEFECT WITH A BRONCHOGENIC CYST. Thorax. 1964 Mar;19:176–179. doi: 10.1136/thx.19.2.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rogge J. D., Mishkin M. E., Genovese P. D. Congenital partial pericardial defect with herniation of the left atrial appendage. Ann Intern Med. 1966 Jan;64(1):137–141. doi: 10.7326/0003-4819-64-1-137. [DOI] [PubMed] [Google Scholar]
  10. SHARMA V. N., BATES M., HURT R. L. Herniation of the heart after intrapericardial pneumonectomy for bronchial carcinoma. Thorax. 1959 Mar;14(1):36–38. doi: 10.1136/thx.14.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sunderland S., Wright-Smith R. J. CONGENITAL PERICARDIAL DEFECTS. Br Heart J. 1944 Oct;6(4):167–175. doi: 10.1136/hrt.6.4.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. TUCKER D. H., MILLER D. E., JACOBY W. J., Jr CONGENITAL PARTIAL ABSENCE OF THE PERICARDIUM WITH HERNIATION OF THE LEFT ATRIAL APPENDAGE. Am J Med. 1963 Oct;35:560–565. doi: 10.1016/0002-9343(63)90153-0. [DOI] [PubMed] [Google Scholar]
  13. Varriale P., Rossi P., Grace W. J. Congenital absence of the left pericardium and complete heart block. Report of a case. Dis Chest. 1967 Sep;52(3):405–410. doi: 10.1378/chest.52.3.405. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES