Author:
Sivaprakasam Muthukumaran C.,Narayanan Arul,Vettukattil Joseph J.
Abstract
A 16-year-old girl with no previous cardiac problems presented to the casualty with septic shock. Investigations revealed endocarditis involving the mitral valve. At the time of surgery, she was noted to have a large left atrial appendage herniating into the left pleural cavity due to partial absence of the pericardium. Complete or partial absence of the pericardium is an uncommon congenital anomaly. Though various complications and presentations are reported, it has not been identified as a risk factor for endocarditis. We discuss the possible mechanism, and need for prophylaxis against endocarditis, in patients with absence of the pericardium.
Publisher
Cambridge University Press (CUP)
Subject
Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology, and Child Health
Reference7 articles.
1. 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: 1209–1215.
2. Thomas E , Salmon AP , Vettukattil JJ . Intrapericardial giant left atrial appendage. Cardiol Young 2004; 14: 338–340.
3. Chatzis AC , Giannopoulos NM , Sarris GE . Isolated congenital tricuspid insufficiency associated with right-sided congenital partial absence of the pericardium. J Heart Valve Dis 2004; 13: 790–791.
4. Columbus MR . De re anatomica. Beurlaque N , (ed.) Venice 1559; 15: 265–269.
5. Nasser WK . Congenital diseases of the pericardium. Cardiovasc Clin 1976; 7: 271–286.
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