Cardiac displacement with a congenital complete left-sided pericardial defect in a patient with exertional angina pectoris--a case report

Sunao Kojima; Taishi Nakamura; Seigo Sugiyama; Tomohiro Sakamoto; Michihiro Yoshimura; Toshiaki Arima; Ryusuke Suzuki; Michio Kawasuji; Hisao Ogawa

doi:10.1177/000331970405500412

Cardiac displacement with a congenital complete left-sided pericardial defect in a patient with exertional angina pectoris--a case report

Angiology. 2004 Jul-Aug;55(4):445-9. doi: 10.1177/000331970405500412.

Authors

Sunao Kojima¹, Taishi Nakamura, Seigo Sugiyama, Tomohiro Sakamoto, Michihiro Yoshimura, Toshiaki Arima, Ryusuke Suzuki, Michio Kawasuji, Hisao Ogawa

Affiliation

¹ Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Honjo, Kumamoto City, Japan.

PMID: 15258691
DOI: 10.1177/000331970405500412

Abstract

A 71-year-old man with exertional chest pain was admitted to the hospital. A chest roentgenogram exhibited levoposition of the heart. An electrocardiogram showed clockwise rotation in the precordial leads and ST depression in V6, V7, V8, and V9 as well as in II, III, aVF leads associated with chest pain in a treadmill exercise test. The congenital complete left-sided pericardial defect could not be diagnosed preoperatively, but it was confirmed by thoracotomy.

Publication types

Case Reports

MeSH terms

Aged
Angina Pectoris / diagnosis*
Angina Pectoris / physiopathology
Angina Pectoris / surgery
Coronary Artery Bypass
Coronary Artery Disease / diagnosis*
Coronary Artery Disease / physiopathology
Coronary Artery Disease / surgery
Exercise Test
Humans
Male
Pericardium / abnormalities*
Pericardium / diagnostic imaging
Physical Exertion
Radiography
Thoracotomy
Ultrasonography