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August 1965

Congenital Pericardial Defect: Report of a Patient With an Associated Patent Ductus Arteriosus

Author Affiliations

From the Cardiopulmonary Center, Good Samaritan Hospital, Director (Dr. Schuster). Cardiac Fellows, sponsored by grant from Dayton-Miami Valley Chapter, American Heart Association. (Drs. Alejandrino, Yavuz, and Imm).

Am J Dis Child. 1965;110(2):199-202. doi:10.1001/archpedi.1965.02090030209021

Introduction  CONGENITAL PERICARDIAL defects, believed to be rare, have seldom been recognized clinically. Since the first description of this anomaly by Columbus,1 as early as 1559, we have found that 112 instances of this anomaly were published in medical literature. The diagnosis was nearly always made post mortem, even though much attention has been directed towards the importance of recognizing the condition during life.4,5,7-10The purpose of this paper is to describe a case of congenital pericardial defect. Herniation of left atrial appendage appeared as a prominent pulmonary segment on plain x-ray examination and showed active pulsations paradoxical to those in the aorta and pulmonary artery. There was a coincidental patent ductus arteriosus.

Report of a Case  AC, a 9-year-old white boy, was admitted to the Good Samaritan Hospital of Dayton, Ohio, for the evaluation of a cardiac murmur, noted by his physician a year prior to admission.

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