Congenital Absence of Pericardium: The Swinging Heart

Author:

Marzullo Raffaella1ORCID,Capestro Alessandro2,Cosimo Renato1,Fogante Marco3ORCID,Aprile Alessandro4,Balardi Liliana5,Giordano Mario1ORCID,Gaio Gianpiero1ORCID,Gauderi Gabriella1,Russo Maria Giovanna1ORCID,Schicchi Nicolò6

Affiliation:

1. Pediatric Cardiology, University of Campania ‘Luigi Vanvitelli’, Former Second University of Naples, Monaldi Hospital-AORN Ospedali dei Colli, 81100 Naples, Italy

2. Department of Pediatric and Congenital Cardiac Surgery and Cardiology, University Hospital of Marche, 60126 Ancona, Italy

3. Department of Radiology, Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, University Hospital of Marche, 60126 Ancona, Italy

4. Department of Cardiology, Ospedale del Mare, 80147 Naples, Italy

5. Health Professions Area and Diagnostic Technical Area, University Hospital of Marche, 60126 Ancona, Italy

6. Cardiovascular Radiological Diagnostics, Department of Radiology, University Hospital of Marche, 60126 Ancona, Italy

Abstract

Congenital absence of the pericardium (CAP) is an unusual condition discovered, in most cases, incidentally but can potentially lead to fatal complications, including severe arrhythmias and sudden death. Recently, the use of modern imaging technologies has increased the diagnosis of CAP, providing important findings for risk stratification. Nevertheless, there is not yet consensus regarding therapeutic decisions, and the management of patients with CAP remains challenging. In this paper, we discuss the pathophysiological implication of CAP, review the current literature and explain the role of multimodality imaging tools for its diagnosis, management and treatment.

Publisher

MDPI AG

Reference41 articles.

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3. Congenital Absence of the Pericardium;Lopez;Prog. Cardiovasc. Dis.,2017

4. Schoenwolf, G., Bleyl, S., Brauer, P., and Francis-Wes, P. (2021). Larsen’s Human Embryology, Elsevier. [6th ed.]. Elsevier Health.

5. Mustafi’s Human Embryology;Basu;Calcutta,1975

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