Case Report
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Konjenital Parsiyel Sağ Perikardiyal Defekt

Year 2015, Volume: 18 Issue: 1, 57 - 59, 06.04.2015

Abstract











Konjenital perikardiyal defektler nadir
görülen ve genellikle asemptomatik seyrettikleri için kardiyak veya toraks
ameliyatları esnasında tesadüfen saptanan patolojilerdir. Parsiyel sol
perikardiyal defektler daha sıklıkla görülürken parsiyel sağ perikardiyal defektler
çok daha nadir görülmektedirler.



59 yaşında erkek hasta koroner arter
baypas amacıyla operasyona alındı. Bu esnada parsiyel sağ perikardiyal defekt
saptandı. Bası oluşturmadığı ve asemptomatik seyrettiği için perikardiyal
defekte müdahale edilmedi. Mevcut defektten dolayı ameliyat bitiminde hastanın
sağ toraksına da dren yerleştirildi.



Konjenital perikardiyal defektler çok
nadir olup, sıklıkla semptomsuz seyreden patolojilerdir. Tanısal yöntemler ile
mevcudiyetinin saptanması zor olan bu defektler, semptom oluşturup ciddi bir
probleme yol açtığında, nadir görülmesi ve sıklıkla sorunsuz olmasından dolayı,
hekimin en son aklına geleceği bir patoloji olmaktadır. Bu da aslında cerrahi
tedavisi çok basit olan bu patolojiyi ölümcül ve önemli yapmaktadır.



References

  • 1. Furui M, Ohashi T, Hirai Y, Kageyama S. Congenital pericardial defect with ruptured acute type a aortic dissection. Interact Cardiovasc Thorac Surg 2012;15:912-4.
  • 2. Barçın C, Olcay A, Kocaoğlu M, Ataç K, Kurşaklıoğlu H. Asymptomatic congenital pericardial defect: an aspect of diagnostic modalities and treatment. Anadolu Kardiyol Derg 2006;6:387-9.
  • 3. Drury NE, De Silva RJ, Hall RM, Large SR. Congenital defects of the pericardium. Ann Thorac Surg 2007;83:1552-3.
  • 4. Auch-schwelk W, Onzel TB, Rause TK, Kroepelin T, Wimmer B, Schlosser V, et al. Differential diagnosis of chest pain and diagnostic findings in pencardial defects combined with coronary artery disease. Clin Cardiol 1988;11:650-7.
  • 5. Yakut N, Kırali K, Dağlar B, Güler M, Ömeroğlu S, Gürbüz A, ve ark. Konjenital komplet perikardiyal agenezis. Turk Gogus Kalp Dama 1999;7:339-40.
  • 6. Smith WH, Beacock DJ, Goddard AJP, Bloomer TN, Ridgway JP, Sivananthan UM. Magnetic resonance evaluation of the pericardium. Br J Radiol 2001;74:384-92.
  • 7. Salem DN, Hymanson AS, Isner JM, Bankoff MS, Kontsam MA. Congenital pericardial defect diagnosed by computed tomography. Cathet Cardiovasc Diagn 1985;11:75-9.
  • 8. Van Son JA, Danielson GK, Schaff HV, Mullany CJ, Julsrud PR, Breen JF. Congenital partial and complete absence of the pericardium. Mayo Clin Proc 1993;68:743-7.
  • 9. Gatzoulis MA, Munk MD, Merchant N, van Arsdell GS, McCrindle BW, Webb GD. Isolated congenital absence of the pericardium: clinical presentation, diagnosis and management. Ann Thorac Surg 2000;69:1209-15.

Partial Right-Sided Congenital Pericardial Defect

Year 2015, Volume: 18 Issue: 1, 57 - 59, 06.04.2015

Abstract











Congenital pericardial defects are
rare and usually asymptomatic. These defects are detected incidentally during
cardiac or thorax operations. Partial left pericardial defects are seen more
frequently. On the contrary, partial right pericardial defects are seen very
rarely.



59 year old male patient was
operated for coronary artery bypass grafting. During the operation a partial
right pericardial defect was detected. This defect was asymptomatic without
creating a pressure. Therefore, we did not interfere with this defect. At the
end of the surgery, right chest drain was inserted for this defect.



Congenital pericardial defects are
very rare and generally asymptomatic pathologies. The presence  of these defects are difficult with
conventional diagnostic methods. However, in some cases, these defects can
create symptoms and lead to serious problems. The surgical treatment of this
pathology is very simple. Due to its rarity and problem-free nature, these
pathologies rarely come to mind. Therefore this condition may be a lethal and
important pathology in some cases.



References

  • 1. Furui M, Ohashi T, Hirai Y, Kageyama S. Congenital pericardial defect with ruptured acute type a aortic dissection. Interact Cardiovasc Thorac Surg 2012;15:912-4.
  • 2. Barçın C, Olcay A, Kocaoğlu M, Ataç K, Kurşaklıoğlu H. Asymptomatic congenital pericardial defect: an aspect of diagnostic modalities and treatment. Anadolu Kardiyol Derg 2006;6:387-9.
  • 3. Drury NE, De Silva RJ, Hall RM, Large SR. Congenital defects of the pericardium. Ann Thorac Surg 2007;83:1552-3.
  • 4. Auch-schwelk W, Onzel TB, Rause TK, Kroepelin T, Wimmer B, Schlosser V, et al. Differential diagnosis of chest pain and diagnostic findings in pencardial defects combined with coronary artery disease. Clin Cardiol 1988;11:650-7.
  • 5. Yakut N, Kırali K, Dağlar B, Güler M, Ömeroğlu S, Gürbüz A, ve ark. Konjenital komplet perikardiyal agenezis. Turk Gogus Kalp Dama 1999;7:339-40.
  • 6. Smith WH, Beacock DJ, Goddard AJP, Bloomer TN, Ridgway JP, Sivananthan UM. Magnetic resonance evaluation of the pericardium. Br J Radiol 2001;74:384-92.
  • 7. Salem DN, Hymanson AS, Isner JM, Bankoff MS, Kontsam MA. Congenital pericardial defect diagnosed by computed tomography. Cathet Cardiovasc Diagn 1985;11:75-9.
  • 8. Van Son JA, Danielson GK, Schaff HV, Mullany CJ, Julsrud PR, Breen JF. Congenital partial and complete absence of the pericardium. Mayo Clin Proc 1993;68:743-7.
  • 9. Gatzoulis MA, Munk MD, Merchant N, van Arsdell GS, McCrindle BW, Webb GD. Isolated congenital absence of the pericardium: clinical presentation, diagnosis and management. Ann Thorac Surg 2000;69:1209-15.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Cüneyt Narin This is me

Burçin Abud This is me

İlker Kiriş This is me

Figen Boyacı This is me

Publication Date April 6, 2015
Published in Issue Year 2015 Volume: 18 Issue: 1

Cite

Vancouver Narin C, Abud B, Kiriş İ, Boyacı F. Partial Right-Sided Congenital Pericardial Defect. Koşuyolu Heart Journal. 2015;18(1):57-9.