Congenital absence of left pericardium
Ana Rita Victor1, Paulo Osório, Pedro Matos
1Serviço de Cardiologia, Hospital Garcia de Orta, Almada. arvictor@mail.telepac.pt
Insights
Congenital absence of the pericardium is a rare condition that can cause right heart chamber enlargement. Magnetic resonance imaging (MRI) is key for diagnosis.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Congenital absence of the pericardium is a rare condition.
- It can lead to cardiac chamber anomalies.
- Diagnosis often requires advanced imaging techniques.
Observation:
- A 34-year-old patient presented with asymptomatic right chamber dilatation.
- Diagnostic investigation revealed congenital absence of the left pericardium.
- Magnetic resonance imaging (MRI) confirmed the diagnosis.
Findings:
- The case highlights a rare congenital anomaly.
- MRI is crucial for diagnosing pericardial defects.
- Associated congenital abnormalities should be considered.
Implications:
- Early diagnosis of pericardial absence is important for understanding potential cardiac effects.
- MRI plays a vital role in the diagnostic pathway.
- Further research into associated anomalies and long-term outcomes is warranted.
Abstract:
The authors present a clinical case of right chamber dilatation in a 34-year-old patient with no symptoms, investigation of which led to a diagnosis of congenital absence of left pericardium, established by magnetic resonance imaging (MRI). They also present a review on absence of the pericardium, and discuss associated congenital abnormalities, the clinical presentations and findings in diagnostic tests, with particular emphasis on MRI.
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