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  • Title: Congenital pericardial defect associated with ruptured type A aortic dissection.
    Author: Matsuda N, Marumoto A, Nakashima H, Nakamura Y, Kamihira S, Ishiguro S, Ohgi S.
    Journal: Ann Thorac Surg; 2004 Mar; 77(3):1069-70. PubMed ID: 14992930.
    Abstract:
    Congenital pericardial defect is a rare and little-known anomaly. Here we describe the unique clinical presentation of a 64-year-old man with partial defect of the left pericardium associated with ruptured acute type A aortic dissection manifesting massive left hemothorax. In this patient, the pericardial defect played the role of a pericardial draining window, which incidentally prevented the heart from cardiac tamponade. Emergent surgery was successfully performed with a prosthetic graft replacement.
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