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Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review

INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 1...

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Autores principales: Date, Naoki, Komatsu, Teruya, Fujinaga, Takuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509363/
https://www.ncbi.nlm.nih.gov/pubmed/32966931
http://dx.doi.org/10.1016/j.ijscr.2020.09.085
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author Date, Naoki
Komatsu, Teruya
Fujinaga, Takuji
author_facet Date, Naoki
Komatsu, Teruya
Fujinaga, Takuji
author_sort Date, Naoki
collection PubMed
description INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 16-year-old boy with left spontaneous pneumothorax showed pneumopericardium on chest X-ray. Chest computed tomography revealed a partial pericardial defect. Video-assisted thoracoscopic surgery was performed, and a small pericardial defect was confirmed at the level of the upper pulmonary hilum. We did not reconstruct the defect because of the improbability of cardiac herniation. DISCUSSION: Pneumopericardium combined with pneumothorax suggests the existence of a pericardial foramen. Partial pericardial defects could cause cardiac herniation or strangulation, and pneumothorax may worsen the protruding of the heart. Video-assisted thoracic surgery is an effective method to prevent the recurrence of pneumothorax and determine whether reconstruction of the defect is required. CONCLUSION: Video-assisted thoracic surgery should be performed in the case of a pericardial defect combined with pneumothorax.
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spelling pubmed-75093632020-09-28 Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review Date, Naoki Komatsu, Teruya Fujinaga, Takuji Int J Surg Case Rep Case Report INTRODUCTION: Congenital pericardial defects are rare but can cause fatal complications. Most cases are asymptomatic and incidentally detected during a thoracic surgery or autopsy. We report a case of a partial pericardial defect confirmed based on spontaneous pneumothorax. PRESENTATION OF CASE: A 16-year-old boy with left spontaneous pneumothorax showed pneumopericardium on chest X-ray. Chest computed tomography revealed a partial pericardial defect. Video-assisted thoracoscopic surgery was performed, and a small pericardial defect was confirmed at the level of the upper pulmonary hilum. We did not reconstruct the defect because of the improbability of cardiac herniation. DISCUSSION: Pneumopericardium combined with pneumothorax suggests the existence of a pericardial foramen. Partial pericardial defects could cause cardiac herniation or strangulation, and pneumothorax may worsen the protruding of the heart. Video-assisted thoracic surgery is an effective method to prevent the recurrence of pneumothorax and determine whether reconstruction of the defect is required. CONCLUSION: Video-assisted thoracic surgery should be performed in the case of a pericardial defect combined with pneumothorax. Elsevier 2020-09-15 /pmc/articles/PMC7509363/ /pubmed/32966931 http://dx.doi.org/10.1016/j.ijscr.2020.09.085 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Date, Naoki
Komatsu, Teruya
Fujinaga, Takuji
Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title_full Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title_fullStr Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title_full_unstemmed Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title_short Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: A case report and literature review
title_sort congenital partial pericardial defect confirmed based on spontaneous pneumothorax: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509363/
https://www.ncbi.nlm.nih.gov/pubmed/32966931
http://dx.doi.org/10.1016/j.ijscr.2020.09.085
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AT fujinagatakuji congenitalpartialpericardialdefectconfirmedbasedonspontaneouspneumothoraxacasereportandliteraturereview