20 April 2004
Tetralogy of fallot associated with left sided absence of pericardium
Challenging differential diagnosis
Mehmet Oc, H.Ibrahim Ucar, Birkan Akbulut, Ümit Duman, Bahar Oc, Meral Kanbak, Unsal ErsoyCase Rep Clin Pract Rev 2004; 5(null):361-364 :: ID: 12351
Abstract
Background: A congenital pericardial defect is a rarely observed anomaly that usually accompanies other defects. In most cases the defect is discovered intraoperatively during cardio-thoracic procedures.
One third of patients with congenital pericardial defects have some additional anomalies,such as defects of the heart or other organs. They are exceptional and difficult to diagnose.Case Report: A 3-year-old boy with severe cyanosis admitted to our clinic. After echocardiographic examination tetralogy of Fallot was diagnosed. Neither echocardiography nor angiography showed a pericardial defect. Totally corrective surgery was planned. A large pericardial defect was detected intraoperatively, where no intervention regarding to pericardial defect was required.Conclusions: In this case the patient had adapted to the anomaly – this is why it did not require special intervention. Additionally, postoperative adhesions between the pericardial defect and the heart surface should prevent the displacement of the heart or the lung. In our opinion correction of large defects in lateral pericardial walls is not necessary. To our knowledge, tetralogy of Fallot associated with congenital pericardial defect has not been reported yet, and this is described in detail.
Keywords: left pericardial defect, Tetralogy of Fallot, surgical exposure
36
In Press
14 Mar 2024 : Case report
Potential Indicators of Intestinal Necrosis in Portal Venous Gas: A Case Report of an 82-Year-Old Woman on ...Am J Case Rep In Press; DOI: 10.12659/AJCR.942966
05 Mar 2024 : Case report
Simultaneous Transcatheter Closure of a Ventricular Septal Defect and Pulmonary Valvuloplasty: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942032
06 Mar 2024 : Case report
Successful Healing of Periapical Pathology with Partial Pulpotomy in a Mature Permanent Molar: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942937
12 Mar 2024 : Case report
Successful Treatment of Lithium-Induced Nephrogenic Diabetes Insipidus with Celecoxib: A Promising Therapeu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943244
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250