This case report describes the angiographic diagnosis and thoracoscopic pericardiectomy treatment of a rare partial congenital defect of the left pericardium, highlighting a novel finding of diastolic, migratory coronary stenosis.
Highlights potential link between pericardial defects and migratory coronary stenosis; hypothesis-generating and should not change practice.
Congenital defects of the pericardium are extremely rare and frequently difficult to diagnose. We present a diagnosis of partial congenital defect of the left pericardium based on a characteristic chest X-ray and left ventriculogram. Additionally, we report findings of a diastolic, migratory coronary stenosis on coronary arteriography which, to date, has not been reported. Confirmation of the diagnosis by mediastinoscopy was followed by thoracoscopic pericardiectomy.
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Rees et al. (1993) studied this question.
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