Congenital Partial Pericardial Defect with Herniation of the Left Atrial Appendage
Authors: JAMES D. ROGGE
Journal: Annals of Internal Medicine (1966)

Case Studies1 January 1966Congenital Partial Pericardial Defect with Herniation of the Left Atrial AppendageJAMES D. ROGGE, M.D., MARVIN E. MISHKIN, M.D., PASQUALE D. GENOVESE, M.D., F.A.C.P.JAMES D. ROGGE, M.D., MARVIN E. MISHKIN, M.D., PASQUALE D. GENOVESE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-64-1-137 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptApparent enlargement of the pulmonary artery is seen on the chest roentgenogram in a number of different conditions. Among these are pulmonic stenosis, left-to-right shunts, primary pulmonary hypertension, mitral valve disease, idiopathic pulmonary artery dilatation, and mediastinal or pulmonary tumor. One congenital abnormality that simulates enlargement of the pulmonary artery has been reported so infrequently in the past that its roentgenographic appearance is not widely known. Knowledge of its appearance is a practical piece of information, and for that reason the following case is reported.CASE REPORTPatient S. S. is a 21-year-old white male referred to the Veterans Administration...References1. SWANSONSTEINBERG GEI: Roentgen features of the atrial appendages. Amer. J. Roentgen. 91: 311, 1964. Google Scholar2. COLUMBUS MR cited in CURLING, T. B.: Case of congenital absence of the pericardium. Trans. Roy. Med. Chir. Soc. (Glasgow) 22: 222, 1839. MedlineGoogle Scholar3. ELLISLEEDSHIMMELSTEIN KNA: Congenital deficiencies in the parietal pericardium. Amer. J. Roentgen. 82: 125, 1959. Google Scholar4. CHANGLEIGH CHTF: Congenital partial defect of the pericardium associated with herniation of the left atrial appendage. Amer. J. Roentgen. 86: 517, 1961. Google Scholar5. LADD W: Congenital absence of the pericardium. New Eng. J. Med. 214: 183, 1936. CrossrefGoogle Scholar6. SUNDERLANDWRIGHT-SMITH SR: Congenital pericardial defects. Brit. Heart J. 6: 167, 1944. 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Its resemblance to pulmonary artery enlargement. Circulation 26: 114, 1962. CrossrefGoogle Scholar21. POWELL RD: Case of pneumothorax with congenital opening into the pericardium. Trans. Path. Soc. Lond. 20: 99, 1869. Google Scholar22. TABAKINHANSONTAMPASCALDWELL BJJE: Congenital absence of the left pericardium. Amer. J. Roentgen. 94: 122, 1965. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JAMES D. ROGGE, M.D.; MARVIN E. MISHKIN, M.D.; PASQUALE D. GENOVESE, M.D., F.A.C.P.Affiliations: Indianapolis, IndianaFrom the Medical Service, Veterans Administration Hospital, and the Indiana University School of Medicine, Indianapolis, Ind.This study was supported in part by a grant from the Indiana Heart Association.Requests for reprints should be addressed to Pasquale D. Genovese, M.D., Medical Service, Veterans Administration Hospital, 1481 W. 10th St., Indianapolis, Ind. 46207. 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