J Korean Med Sci.
2010 Jan;25(1):145-147. 10.3346/jkms.2010.25.1.145.
Partial Pericardial Defect Incidentally Discovered During Coronary Bypass Surgery
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Korea University Medical School, Seoul, Korea. ksunmd@kumc.or.kr
- 2Department of Radiology, Korea University Medical School, Seoul, Korea.
- KMID: 1713846
- DOI: http://doi.org/10.3346/jkms.2010.25.1.145
Abstract
- A 71-yr-old male patient with three vessel coronary artery disease underwent a coronary artery bypass graft. The patient was found to have a large pericardial defect at the apex of the heart that measured approximately 18 cm in circumference. The edge of the pericardial defect impinged on the epicardial coronary arteries. The left phrenic nerve descended via the dorsal boundary of the pericardial defect. Following coronary artery bypass grafting, the pericardial defect was repaired with a polytetrafluorethylene patch. The patient had an uncomplicated postoperative course.
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