From the Department of Internal Medicine and Department of Surgery, Mashad University of Medical Sciences, Mashad, Islamic Republic of Iran
Abstract: (4934 Views)
Congenital defects of the pericardium are considered rare. Until 1979 , the
reported cases were only about 200.1 Total absence of the left pericardium is
the most common defect2 and less common is a partial defect of the left
pericardium. Other types, i.e. isolated right-sided defects, total pericardial
absence and diaphragmatic pericardial defects are very rare.3
Before the last decade, the diagnosis of partial defects of the left
pericardium was very difficult and sometimes made only during surgical
intervention or post-mortem examination. More recently however, the use
of angiocardiography and induced left pneumothorax have made diagnosis
of this kind of pericardial defect relatively easy. In the present case, the only
finding was the prominence of the left hilum on radiography and the correct
diagnosis was made through angiocardiography and left pneumothorax.