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KMID : 0368120000300101281
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Korean Circulation Journal
2000 Volume.30 No. 10 p.1281 ~ p.1284
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A Case of Congenital Pericardial Defect Diagnosed by Computed Tomography
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최홍엽/Hong Youp Choi
임상욱/김준영/나병욱/황경화/정은미/김태용/차동훈/김정숙/Sang Wook Lim/Joon Young Kim/Byung Wook Na/Kyung Wha Whang/Eun Mi Jeong/Tae Yong Kim/Dong Hoon Cha/Jeung Sook Kim
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Abstract
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Pericardial defect is a rare congenital cardiac disorder. Most patients were asymptomatic but some patients with partial pericardial defect occasionally complain acute symptoms such as angina, syncope, rarely sudden cardiac death. So, differential
diagnosis with other ischemic or structural heart disease is crucial in the management of such patients. But there is no consistently successful diagnostic method. In the past, artificial diagnostic pneumothorax was used to document the absence of
pericardium. However, it is not easily accepted due to excess morbidity and failure rate. Recently, echocardiography and more often, computed tomography, magnetic resonance imaging are used to confirm the diagnosis. We experienced a 52 years old male
patient with atypical chest pain, who was diagnosed as complete left pericardial defect with computed tomography.
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