Key result
Multimodality cardiac imaging, including echocardiography, computed tomography, and magnetic resonance imaging, successfully confirmed the diagnosis of complete congenital absence of the pericardium by revealing extreme leftward heart rotation and the absence of the pericardial layer.
Why the study?
Congenital absence of the pericardium is a rare heart disorder that is frequently misdiagnosed due to an unspecific clinical picture, presenting diagnostic challenges.
Does multimodality cardiovascular imaging aid in the accurate diagnosis of congenital absence of the pericardium in a patient with non-specific symptoms and right ventricular dilatation?
Case Report (n=1)
No
Does multimodality cardiovascular imaging aid in the accurate diagnosis of congenital absence of the pericardium in a patient with non-specific symptoms and right ventricular dilatation?
Multimodality cardiac imaging, including echocardiography, CT, and MRI, is crucial for accurately diagnosing the rare congenital absence of the pericardium and preventing misdiagnosis.
Cardiac imaging may aid CAP diagnosis in symptomatic adults; leaves open need for standardized protocols in larger cohorts.
Objective: Congenital absence of the pericardium (CAP) is a rare heart disorder, frequently misdiagnosed due to an unspecific clinical picture and leading to diagnostic challenges.The purpose of this case presentation is to show how cardiac imaging methods can aid in accurate diagnosis of CAP.Case presentation: A case of the complete congenital absence of the pericardium in a 40-year-old man with complaints on dyspnea and fatigue is presented.Echocardiography revealed a dilated right ventricle with good contractility; normal dimensions and function of the left ventricle, and normal heart valve function.Pulmonary hypertension and atrial septal defect were excluded during echocardiography.Computed tomography revealed abnormal heart axis rotation leftward and posteriorly, raising suspicion of CAP.The diagnosis was confirmed by cardiac magnetic resonance imaging .The diagnostic flowchart for the CAP is discussed.Conclusion: Multimodality cardiac imaging provides clues to the diagnosis of CAP.
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Oryshchyn et al. (2025) conducted a case report in Congenital absence of the pericardium (n=1). Multimodality cardiovascular imaging (Echocardiography, CT, MRI) was evaluated on Accurate diagnosis of congenital absence of the pericardium. Multimodality cardiac imaging, including echocardiography, computed tomography, and magnetic resonance imaging, successfully confirmed the diagnosis of complete congenital absence of the pericardium by revealing extreme leftward heart rotation and the absence of the pericardial layer.
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