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Congenital Pericardial Defect: Report of a Patient With an Associated Patent Ductus Arteriosus

Congenital Pericardial Defect: Report of a Patient With an Associated Patent Ductus Arteriosus Abstract Introduction CONGENITAL PERICARDIAL defects, believed to be rare, have seldom been recognized clinically. Since the first description of this anomaly by Columbus,1 as early as 1559, we have found that 112 instances of this anomaly were published in medical literature. The diagnosis was nearly always made post mortem, even though much attention has been directed towards the importance of recognizing the condition during life.4,5,7-10The purpose of this paper is to describe a case of congenital pericardial defect. Herniation of left atrial appendage appeared as a prominent pulmonary segment on plain x-ray examination and showed active pulsations paradoxical to those in the aorta and pulmonary artery. There was a coincidental patent ductus arteriosus. Report of a Case AC, a 9-year-old white boy, was admitted to the Good Samaritan Hospital of Dayton, Ohio, for the evaluation of a cardiac murmur, noted by his physician a year prior to admission. References 1. Columbus, M.R.: De Re Anatomica , 1559, vol 15, p 265. 2. Moore, T.C., and Shumacker, H.B., Jr.: Congenital and Experimentally Produced Defects , Angiology 4:1, 1953.Crossref 3. Baillie, W.: On Want of Pericardium in Human Body , Trans Soc Imp Med Chir Knowledge 1:91, 1793. 4. Ellis, K.; Leeds, N.E.; and Himmelstein, A.: Congenital Deficiencies in Pericardium , Amer J Roentgen 82:125, 1959. 5. Hering, A.C.; Wilson, J.S.; and Ball, R.E.: Congenital Deficiency of Pericardium , J Thorac Cardiov Surg 40:49, 1960. 6. Jones, P.H.: Developmental Defects in Lungs , Thorax 10:205, 1955.Crossref 7. Chang, C.H., and Leigh, T.: Congenital Partial Defect of Pericardium With Herniation of Left Atrial Appendage , Amer J Roentgen 86:517, 1961. 8. Jacoby, W., Jr.; Miller, E.; and Tucker, D.H.: Congenital Partial Absence of Pericardium With Herniation of Left Atrial Appendage , Amer J Med 35:560, 1963.Crossref 9. Southworth, H., and Stevenson, C.S.: Congenital Defects of Pericardium , Arch Intern Med 61:223, 1938.Crossref 10. Boone, M.L.: Roentgenogram of Month , Dis Chest 42: 553, 1962.Crossref 11. Boxall, R.: Incomplete Pericardial Sac: Escape of Heart Into Left Pleural Cavity , Trans Obstet Soc London 28:209, 1887. 12. Sunderland, S., and Wright-Smith, R.J.: Congenital Pericardial Defects , Brit Heart J 6:167, 1944.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Congenital Pericardial Defect: Report of a Patient With an Associated Patent Ductus Arteriosus

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1965.02090030209021
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction CONGENITAL PERICARDIAL defects, believed to be rare, have seldom been recognized clinically. Since the first description of this anomaly by Columbus,1 as early as 1559, we have found that 112 instances of this anomaly were published in medical literature. The diagnosis was nearly always made post mortem, even though much attention has been directed towards the importance of recognizing the condition during life.4,5,7-10The purpose of this paper is to describe a case of congenital pericardial defect. Herniation of left atrial appendage appeared as a prominent pulmonary segment on plain x-ray examination and showed active pulsations paradoxical to those in the aorta and pulmonary artery. There was a coincidental patent ductus arteriosus. Report of a Case AC, a 9-year-old white boy, was admitted to the Good Samaritan Hospital of Dayton, Ohio, for the evaluation of a cardiac murmur, noted by his physician a year prior to admission. References 1. Columbus, M.R.: De Re Anatomica , 1559, vol 15, p 265. 2. Moore, T.C., and Shumacker, H.B., Jr.: Congenital and Experimentally Produced Defects , Angiology 4:1, 1953.Crossref 3. Baillie, W.: On Want of Pericardium in Human Body , Trans Soc Imp Med Chir Knowledge 1:91, 1793. 4. Ellis, K.; Leeds, N.E.; and Himmelstein, A.: Congenital Deficiencies in Pericardium , Amer J Roentgen 82:125, 1959. 5. Hering, A.C.; Wilson, J.S.; and Ball, R.E.: Congenital Deficiency of Pericardium , J Thorac Cardiov Surg 40:49, 1960. 6. Jones, P.H.: Developmental Defects in Lungs , Thorax 10:205, 1955.Crossref 7. Chang, C.H., and Leigh, T.: Congenital Partial Defect of Pericardium With Herniation of Left Atrial Appendage , Amer J Roentgen 86:517, 1961. 8. Jacoby, W., Jr.; Miller, E.; and Tucker, D.H.: Congenital Partial Absence of Pericardium With Herniation of Left Atrial Appendage , Amer J Med 35:560, 1963.Crossref 9. Southworth, H., and Stevenson, C.S.: Congenital Defects of Pericardium , Arch Intern Med 61:223, 1938.Crossref 10. Boone, M.L.: Roentgenogram of Month , Dis Chest 42: 553, 1962.Crossref 11. Boxall, R.: Incomplete Pericardial Sac: Escape of Heart Into Left Pleural Cavity , Trans Obstet Soc London 28:209, 1887. 12. Sunderland, S., and Wright-Smith, R.J.: Congenital Pericardial Defects , Brit Heart J 6:167, 1944.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Aug 1, 1965

References