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BY-NC-ND 3.0 license Open Access Published by De Gruyter Open Access April 9, 2010

Congenital total absence of the pericardium: A case report

Arezou Zoroufian, Shapour Shirani, Behareh Eslami and Mohammad Sahebjam
From the journal Open Medicine


We report the case of a 52-year-old woman who presented with a several-year history of palpitation (exacerbated by emotional stress and physical activity) and recent development of atypical chest pain. An investigation was undertaken to diagnose the patient’s problem and to recommend the best possible therapy. Transthoracic echocardiography and a computerized axial tomography scan showed evidence of complete absence of the pericardium, which is a rare congenital heart defect.

[1] Gatzoulis M.A., Munk M.D., Merchant N., Van Arsdell G.S., McCrindle B.W., Webb G.D., Isolated Congenital Absence of the Pericardium: Clinical Presentation, Diagnosis, and Management, Ann Thorac Surg., 2000, 69, 1209–1215 in Google Scholar

[2] Messner G.N., Prendergast P., Wadia Y., Chu T., Gregoric I.D., Flamm S.D.,, Congenital Absence of Anterior Pericardium at Left Ventricular Assist Device Implantation, Tex Heart Inst J., 2004, 31, 87–89 Search in Google Scholar

[3] Tan R.S., Partridge J., Ilsley C., Mohiaddin R., Familial complete congenital absence of the pericardium, Clinical Radiology, 2007, 62, 85–87 in Google Scholar

[4] Porte H.L., Massouille D.G., Lebuffe G.R., Wurtz A.J., A Unique Congenital Mediastinal Malformation, Ann Thorac Surg, 2001, 71, 1703–1704. in Google Scholar

[5] Nisanoglu V., Erdil N., Battaloglu B., Complete Left- Sided Absence of the Pericardium in Association with Reuptured Type A Aortic Dissection Complicated by Severe Left Hemothorax, Tex Heart Inst J., 2005, 32, 241–243 Search in Google Scholar

[6] Tebruegge M.O., Rennie J.M., Haugen S.E., congenital absence of the pericardium associated with congenital diaphragmatic hernia and hepatic hemangioendothelioma: case report and review of the literature, Pediatr Surg Int., 2005, 21, 557–559 in Google Scholar PubMed

[7] Rashid A., Ahluwalia G., Griselli M., Scheuermann-Freestone M., Neubauer S., Gaztoulis M., et al., Congenital Partial Absence of the Left Pericardium Associated with Tricuspid Regurgitation, Ann Thorac Surg., 2008, 85, 645–647 in Google Scholar PubMed

[8] Ratib O., Perloff J.K., Williams W.G., Congenital Complete Absence of the Pericardium. Circulation, 2001, 103, 3154–3155 in Google Scholar PubMed

[9] Skalski J., Wites M., Haponiuk I., Przylski R., Grzybowski A., Zembala M., et al., A congenital defect of the pericardium, Thorac Cardiovasc Surg., 1999, 47, 401–404 in Google Scholar PubMed

[10] Nakashima D, Nakaboh A, Shinozuka T, Hasegawa K, Nakagawa A, Kojima Sh, Hamada H., A congenital absence of the pericardium diagnosed by echocardiography, Int J Cardiol., 2007, 118, e89–e91 in Google Scholar PubMed

Published Online: 2010-4-9
Published in Print: 2010-6-1

© 2010 Versita Warsaw

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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