A 54-year-old asymptomatic man underwent a video-assisted thoracoscopic left pneumonectomy for squamous-cell carcinoma. During the surgery, a complete left pericardial defect was unexpectedly discovered, but no special intervention was made. The preoperative chest CT was reciewed, which showed the heart extended unusually to the left, but the left pericardial defect was not evident. The operation time was 204 min and the patient was discharged from hospital upon recovery 9 days after the surgery. The pathological result indicated moderately differentiated squamous-cell carcinoma (T2N1M0, stage ⅡB), and metastasis was found in the parabronchial lymph nodes (3/5). The patient did not receive chemotherapy after the surgery, and there was no signs of recurrence 6 months after the surgery. Complete pericardial defects usually do not endanger the lives of patients, and if the patient is asymptomatic, pneumonectomy is feasible.
Citation：
DUAN Chuanhui, YU Dongliang, XIONG Jianwen, ZHANG Wenxiong, MAO Yu'ang, SONG Qian, WEI Yiping. Upper left lung cancer with congenital complete left pericardial defect: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(2): 272-274. doi: 10.7507/1007-4848.202008024
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. Sergio P, Bertella E, Muri M, et al. Congenital absence of pericardium: Two cases and a comprehensive review of the literature. BJR Case Rep, 2019, 5(3): 20180117.
- 2. Macaione F, Barison A, Pescetelli I, et al. Quantitative criteria for the diagnosis of the congenital absence of pericardium by cardiac magnetic resonance. Eur J Radiol, 2016, 85(3): 616-624.
- 3. Verde F, Johnson PT, Jha S, et al. Congenital absence of the pericardium and its mimics. J Cardiovasc Comput Tomogr, 2013, 7(1): 11-17.
- 4. Parmar YJ, Shah AB, Poon M, et al. Congenital abnormalities of the pericardium. Cardiol Clin, 2017, 35(4): 601-614.
- 5. Abbas AE, Appleton CP, Liu PT, et al. Congenital absence of the pericardium: Case presentation and review of literature. Int J Cardiol, 2005, 98(1): 21-25.
- 6. Shah AB, Kronzon I. Congenital defects of the pericardium: A review. Eur Heart J Cardiovasc Imaging, 2015, 16(8): 821-827.
- 7. Jeong HJ, Seol SH, Seo GW, et al. Congenital partial defect of the left pericardium presenting as chest pain. Heart Lung Circ, 2014, 23(12): e270-e272.
- 8. Ünal E, Karcaaltincaba M, Akpinar E, et al. The imaging appearances of various pericardial disorders. Insights Imaging, 2019, 10(1): 42.
- 9. Benameur N, Arous Y, Landolsi M, et al. Partial congenital absence of the pericardium: A case report. Braz J Cardiovasc Surg, 2019, 34(5): 633-636.
- 10. 陈蓓, 丁君蓉. 胸腔镜全肺切除术后两种胸腔引流方式的临床观察. 中国胸心血管外科临床杂志, 2019, 26(11): 1088-1091.
Journal type citation(2)
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| 2. | 韩志伟，岳鹏，马敏杰，刘礼新，胡文滕，李琼，韩彪. 带金属支撑多侧孔与普通超细引流管应用于单孔胸腔镜肺下叶切除术的回顾性队列研究. 中国胸心血管外科临床杂志. 2024(07): 980-984 . View this site | |
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