© 2014 Wiley Periodicals, Inc.
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CARDIAC SURGERY _____________________________________________________
Pericardial Agenesis iz-Garcı´a, M.D.,* Marı´a Jose Dalmau-Sorlı´, Ph.D.,* Ma Elena Arna Marı´a Gonza lez-Santos, Ph.D.,* and Ma Angeles Martı´n-Moreno, Ph.D.y Jose *Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain; and yDepartment of Anesthesiology, University Hospital of Salamanca, Salamanca, Spain doi: 10.1111/jocs.12351 (J Card Surg 2014;29:803) A 55-year-old male was admitted with an acute anterior myocardial infarction and found to have a high-grade stenosis of the proximal left anterior descending (LAD) artery. At the time of surgery, the entire left side of the pericardium was absent and the
heart was displaced into the left thoracic cavity (Fig. 1A and B). The patient underwent a left internal mammary to LAD bypass. He tolerated the procedure well and had an uncomplicated postoperative course.
Figure 1. (A) Intraoperative view showing the absence of left pericardium, making visible the entire left pleural cavity as a common pleuro-pericardial cavity. The heart is displaced to the left thoracic cavity due to absence of pericardium. (B) Intraoperative image showing left side of diaphragm. Left pericardial agenesis is present. AA, ascending aorta; DP, diaphragm; LIMA, left internal mammary artery; LL, left lung; LV, left ventricle.
Conflict of interest: The authors acknowledge no conflict of interest in the submission. iz-Garcı´a, M.D., Address for correspondence: Marı´a Elena Arna Department of Cardiac Surgery, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007 Salamanca, Spain. Fax: 923291263; e-mail: [email protected]
Copyright of Journal of Cardiac Surgery is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
IMAGES
IN
803
CARDIAC SURGERY _____________________________________________________
Pericardial Agenesis iz-Garcı´a, M.D.,* Marı´a Jose Dalmau-Sorlı´, Ph.D.,* Ma Elena Arna Marı´a Gonza lez-Santos, Ph.D.,* and Ma Angeles Martı´n-Moreno, Ph.D.y Jose *Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain; and yDepartment of Anesthesiology, University Hospital of Salamanca, Salamanca, Spain doi: 10.1111/jocs.12351 (J Card Surg 2014;29:803) A 55-year-old male was admitted with an acute anterior myocardial infarction and found to have a high-grade stenosis of the proximal left anterior descending (LAD) artery. At the time of surgery, the entire left side of the pericardium was absent and the
heart was displaced into the left thoracic cavity (Fig. 1A and B). The patient underwent a left internal mammary to LAD bypass. He tolerated the procedure well and had an uncomplicated postoperative course.
Figure 1. (A) Intraoperative view showing the absence of left pericardium, making visible the entire left pleural cavity as a common pleuro-pericardial cavity. The heart is displaced to the left thoracic cavity due to absence of pericardium. (B) Intraoperative image showing left side of diaphragm. Left pericardial agenesis is present. AA, ascending aorta; DP, diaphragm; LIMA, left internal mammary artery; LL, left lung; LV, left ventricle.
Conflict of interest: The authors acknowledge no conflict of interest in the submission. iz-Garcı´a, M.D., Address for correspondence: Marı´a Elena Arna Department of Cardiac Surgery, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007 Salamanca, Spain. Fax: 923291263; e-mail: [email protected]
Copyright of Journal of Cardiac Surgery is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.
