A CASE OF CONGENITAL COMPLETE LEFT PERICARDIAL DEFECT

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  • 胸腔鏡手術時に発見された左心膜欠損の1例

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Abstract

We report a case of congenital complete left pericardial defect that was incidentally diagnosed on video-assisted thoracoscopic surgery (VATS) in a 24-year-old man with left spontaneous pneumothorax. When patient was examined at our hospital for chest pain, the chest X-ray film and chest computed tomography showed left pneumothorax and pneumopericardium. Under the diagnosis of left sponteneous pneumothorax, VATS was performed. Intraoperatively, congenital complete left pericardial defect was noted. We did not perform any surgical repair for this case because the defect was complete. The postoperative course was uneventful and the patient was discharged 3 days postoperatively. Congenital pericardial defect is an abnormality that is rarely found incidentally on thoracotomy or at autopsy. Recently VATS has been a common approach for the treatment of pneumothorax. We should perform a careful examination and keep congenital pericardial defect in mind in the differential diagnosis of pneumopericardium in a patient with pneumothorax.

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