Abstract
The complete or the partial absence of pericardium is a rare congenital malformation for which the patients are commonly asymptomatic and the diagnosis is incidental. The absence of the left side of the pericardium is the most common anomaly that is reported in the literature while the complete absence of pericardium or the absence of the right side of the pericardium are uncommon and their criteria are still unrecognized given their rare occurrence in clinical practice. This paper aims to report a case of 19-year-old male with the congenital partial absence of both sides of the pericardium and to highlight the symptoms and the different cardiac imaging modalities used to confirm the diagnosis of this defect.
Highlights
A 19-year-old male patient was admitted to the radiology department of the Military Hospital of Tunis in July 2017 for a physical fitness test
The absence of pericardium is a rare congenital malformation generally characterized by non-specific symptoms
The majority of clinical cases reported in the literature showed that the congenital absence of pericardium (CAP) includes a total absence of pericardium and complete or partial absence of the left or the right side of the pericardium
Summary
A 19-year-old male patient was admitted to the radiology department of the Military Hospital of Tunis in July 2017 for a physical fitness test His past medical history was not remarkable. The exam showed an interposition of lung tissue between the diaphragm and the base of the heart and between the aorta and the superior vena cava (Figure 2A and D) with no APVR found It confirmed the left lung interposition seen in the chest X-ray. Right end-diastolic volume index (RVEDi) and right ventricular ejection fraction obtained by MRI were respectively 87 ml/m2 and 58.6 % which is normal All these findings revealed by cardiac imaging examinations confirmed a diagnosis of partial agenesis of right and left pericardium
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