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(Chest. 1969;55:344-346.)
© 1969 American College of Chest Physicians

Pericardial Diverticulum

Elmer Pader M.D.1 and Paul A. Kirschner M.D., F.C.C.P.1

1 Departments of Medicine and Surgery, The Mount Sinai Hospital and Mount Sinai School of Medicine, New York, NY

A case of pericardial diverticulum appearing as a routine chest x-ray finding of a left hilar mass in an asymptomatic 35-year-old man is reported. Thoracotomy revealed a fluid-filled pericardial diverticulum communicating with the pericardial cavity through a 2 to 3 mm opening. Since the majority of pericardial cysts and diverticula are located in either cardiophrenic angle, the location at the left hilum in this case is most unusual. The electrocardiogram before operation revealed T wave inversions in leads 2,3, aVf and the precordial leads which became upright after removal of the diverticulum.






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