Korean J Thorac Cardiovasc Surg.  2017 Aug;50(4):298-299. 10.5090/kjtcs.2017.50.4.298.

Indentation in the Right Ventricle by an Incomplete Pericardium on 3-Dimensional Reconstructed Computed Tomography

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Korea. switch.surgeon@gmail.com

Abstract

We report the case of a 17-year-old girl who presented with an indentation in the right ventricle caused by an incomplete pericardium on preoperative 3-dimensional reconstructed computed tomography. She was to undergo surgery for a partial atrioventricular septal defect and secundum atrial septal defect. Preoperative electrocardiography revealed occasional premature ventricular beats. We found the absence of the left side of the pericardium intraoperatively, and this absence caused strangulation of the diaphragmatic surface of the right ventricle. After correcting the lesion, the patient's rhythm disturbances improved.

Keyword

Indentation of the right ventricle; Incomplete pericardium; Ventricular premature beat

MeSH Terms

Adolescent
Electrocardiography
Female
Heart Septal Defects, Atrial
Heart Ventricles*
Humans
Pericardium*
Ventricular Premature Complexes
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