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(Chest. 1966;50:237-244.)
© 1966 American College of Chest Physicians

Congenital Deficiency of the Pericardium

James C. Broadbent M.D.1; John A. Callahan M.D.1; Owings W. Kincaid M.D.2; and F. Henry Ellis Jr. M.D.3

1 Mayo Clinic and Mayo Foundation: Section of Medicine
2 Mayo Clinic and Mayo Foundation: Section of Roentgenology
3 Mayo Clinic and Mayo Foundation: Section of Surgery

Deficiency of the parietal pericardium was demonstrated in seven patients at the Mayo Clinic. The defect was left-sided in all seven and large in five of the six patients who underwent thoracotomy. Diagnosis was established in one case by the demonstration of pneumopericardium after artificial pneumothorax was made for that purpose. Six of the group were male. In five patients without heart disease, the electrocardiogram revealed right-axis deviation and late development of the R deflection in precordial leads. The electrocardiogram may be of value in the diagnosis of congenital pericardial deficiency.






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