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07.12.2023 | Pericardial Disease (AL Klein and CL Jellis, Section Editors)

Multimodality Imaging Approach Evaluation of the Congenital Pericardial Defect: a Contemporary Review

verfasst von: Mohamed Khayata, Alice A. Haouzi, Craig R. Asher, Bo Xu

Erschienen in: Current Cardiology Reports | Ausgabe 12/2023

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Abstract

Purpose of Review

This review presents the etiology, clinical manifestations, diagnostic approach, and treatment of congenital pericardial defects. It also highlights the critical role of echocardiography, cardiac computed tomography (CCT), and cardiac magnetic resonance (CMR) in the diagnosis and management approach.

Recent Findings

Congenital pericardial defects are rare. Although most cases are found incidentally, some cases could potentially be associated with serious outcomes including sudden cardiac death. The diagnosis is often challenging due to non-specific clinical manifestations and electrocardiogram findings.

Summary

Echocardiography is the first-line imaging investigation for the evaluation of this condition. Advanced cardiac imaging modalities, including CCT and CMR, play important adjuvant roles in establishing the diagnosis and assists with prognostication.
Literatur
1.
Zurück zum Zitat Van Son JA, Danielson GK, Schaff HV, Mullany CJ, Julsrud PR, Breen JF. Congenital partial and complete absence of the pericardium. Mayo Clin Proc. 1993;68:743–7.CrossRefPubMed Van Son JA, Danielson GK, Schaff HV, Mullany CJ, Julsrud PR, Breen JF. Congenital partial and complete absence of the pericardium. Mayo Clin Proc. 1993;68:743–7.CrossRefPubMed
2.
Zurück zum Zitat Southworth HSC. Congenital defects of the pericardium. Arch Intern Med. 1938;61:223–40.CrossRef Southworth HSC. Congenital defects of the pericardium. Arch Intern Med. 1938;61:223–40.CrossRef
3.
Zurück zum Zitat •• Khayata M, Alkharabsheh S, Shah NP, et al. Case series, contemporary review and imaging guided diagnostic and management approach of congenital pericardial defects. Open Heart. 2020;7:e001103. This study presents a contemporary natural history of the congenital pericardial defects and provides a systematic diagnostic and management approach utilizing multimodality imaging. •• Khayata M, Alkharabsheh S, Shah NP, et al. Case series, contemporary review and imaging guided diagnostic and management approach of congenital pericardial defects. Open Heart. 2020;7:e001103. This study presents a contemporary natural history of the congenital pericardial defects and provides a systematic diagnostic and management approach utilizing multimodality imaging.
4.
Zurück zum Zitat Bogaert J, Francone M. Pericardial disease: value of CT and MR imaging. Radiology. 2013;267:340–56.CrossRefPubMed Bogaert J, Francone M. Pericardial disease: value of CT and MR imaging. Radiology. 2013;267:340–56.CrossRefPubMed
6.
Zurück zum Zitat Pickhardt PJ. Congenital absence of the pericardium confirmed by spontaneous pneumothorax. Clin Imaging. 1998;22:404–7.CrossRefPubMed Pickhardt PJ. Congenital absence of the pericardium confirmed by spontaneous pneumothorax. Clin Imaging. 1998;22:404–7.CrossRefPubMed
7.
Zurück zum Zitat Kaneko Y, Okabe H, Nagata N. Complete left pericardial defect with dual passage of the phrenic nerve: a challenge to the widely accepted embryogenic theory. Pediatr Cardiol. 1998;19:414–7.CrossRefPubMed Kaneko Y, Okabe H, Nagata N. Complete left pericardial defect with dual passage of the phrenic nerve: a challenge to the widely accepted embryogenic theory. Pediatr Cardiol. 1998;19:414–7.CrossRefPubMed
8.
Zurück zum Zitat Palau P, Dominguez E, Garcia-Gonzalez P, Gallego J, Bosch MJ, Sieso E. Isolated partial congenital absence of the pericardium: a familial presentation. Can J Cardiol. 2016;32(1039):e1-2. Palau P, Dominguez E, Garcia-Gonzalez P, Gallego J, Bosch MJ, Sieso E. Isolated partial congenital absence of the pericardium: a familial presentation. Can J Cardiol. 2016;32(1039):e1-2.
9.
Zurück zum Zitat Murray BJ, Diamond JB, English RF. Iatrogenic pericardial defect. Ann. Pediatr Cardiol. 2021;14:105–6.CrossRef Murray BJ, Diamond JB, English RF. Iatrogenic pericardial defect. Ann. Pediatr Cardiol. 2021;14:105–6.CrossRef
10.
Zurück zum Zitat Parmar YJ, Shah AB, Poon M, Kronzon I. Congenital abnormalities of the pericardium. Cardiol Clin. 2017;35:601–14.CrossRefPubMed Parmar YJ, Shah AB, Poon M, Kronzon I. Congenital abnormalities of the pericardium. Cardiol Clin. 2017;35:601–14.CrossRefPubMed
11.
Zurück zum Zitat • Xu B, Betancor J, Asher C, Rosario A, Klein A. Congenital absence of the pericardium: a systematic approach to diagnosis and management. Cardiology. 2017;136:270-278. This review provides a systematic approach in diagnosing and managing congenital pericardial defects utilizing multimodality imaging. • Xu B, Betancor J, Asher C, Rosario A, Klein A. Congenital absence of the pericardium: a systematic approach to diagnosis and management. Cardiology. 2017;136:270-278. This review provides a systematic approach in diagnosing and managing congenital pericardial defects utilizing multimodality imaging.
12.
13.
Zurück zum Zitat Date N, Komatsu T, Fujinaga T. Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: a case report and literature review. Int J Surg Case Rep. 2020;75:227–30.CrossRefPubMedPubMedCentral Date N, Komatsu T, Fujinaga T. Congenital partial pericardial defect confirmed based on spontaneous pneumothorax: a case report and literature review. Int J Surg Case Rep. 2020;75:227–30.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Hano O, Baba T, Hayano M, Yano K. Congenital defect of the left pericardium with sick sinus syndrome. Am Heart J. 1996;132:1293–5.CrossRefPubMed Hano O, Baba T, Hayano M, Yano K. Congenital defect of the left pericardium with sick sinus syndrome. Am Heart J. 1996;132:1293–5.CrossRefPubMed
15.
Zurück zum Zitat Lee H, Jeong DS, Kim IS, Park BJ. Persistent atrial fibrillation related to a congenital pericardial defect and left atrial appendage herniation. Korean J Thorac Cardiovasc Surg. 2015;48:429–31.CrossRefPubMedPubMedCentral Lee H, Jeong DS, Kim IS, Park BJ. Persistent atrial fibrillation related to a congenital pericardial defect and left atrial appendage herniation. Korean J Thorac Cardiovasc Surg. 2015;48:429–31.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Nasser WK, Helmen C, Tavel ME, Feigenbaum H, Fisch C. Congenital absence of the left pericardium. Clinical, electrocardiographic, radiographic, hemodynamic, and angiographic findings in six cases. Circulation. 1970;41:469–78. Nasser WK, Helmen C, Tavel ME, Feigenbaum H, Fisch C. Congenital absence of the left pericardium. Clinical, electrocardiographic, radiographic, hemodynamic, and angiographic findings in six cases. Circulation. 1970;41:469–78.
17.
Zurück zum Zitat Gatzoulis MA, Munk MD, Merchant N, Van Arsdell GS, McCrindle BW, Webb GD. Isolated congenital absence of the pericardium: clinical presentation, diagnosis, and management. Ann Thorac Surg. 2000;69:1209–15.CrossRefPubMed Gatzoulis MA, Munk MD, Merchant N, Van Arsdell GS, McCrindle BW, Webb GD. Isolated congenital absence of the pericardium: clinical presentation, diagnosis, and management. Ann Thorac Surg. 2000;69:1209–15.CrossRefPubMed
18.
Zurück zum Zitat Furui M, Ohashi T, Hirai Y, Kageyama S. Congenital pericardial defect with ruptured acute type A aortic dissection. Interact Cardiovasc Thorac Surg. 2012;15:912–4.CrossRefPubMedPubMedCentral Furui M, Ohashi T, Hirai Y, Kageyama S. Congenital pericardial defect with ruptured acute type A aortic dissection. Interact Cardiovasc Thorac Surg. 2012;15:912–4.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Ekeke CN, Daniels C, Raman SV, Hitchcock C, Katz SE, Crestanello JA. Annuloaortic ectasia in a patient with congenital absence of the left pericardium. Ann Thorac Surg. 2013;96:2243–5.CrossRefPubMed Ekeke CN, Daniels C, Raman SV, Hitchcock C, Katz SE, Crestanello JA. Annuloaortic ectasia in a patient with congenital absence of the left pericardium. Ann Thorac Surg. 2013;96:2243–5.CrossRefPubMed
20.
Zurück zum Zitat Hojjati MR, Rozo JC, Nazeri A, Cheong BY. A rare pairing: myocardial noncompaction and congenital absence of pericardium. Tex Heart Inst J. 2013;40:500–1.PubMedPubMedCentral Hojjati MR, Rozo JC, Nazeri A, Cheong BY. A rare pairing: myocardial noncompaction and congenital absence of pericardium. Tex Heart Inst J. 2013;40:500–1.PubMedPubMedCentral
21.
Zurück zum Zitat Eg B. Congenital defect of the pericardium. J Clin Pathol. 1962;15:133–5.CrossRef Eg B. Congenital defect of the pericardium. J Clin Pathol. 1962;15:133–5.CrossRef
22.
Zurück zum Zitat Boxall RO. Incomplete pericardial sac: escape of heart into pleural cavity. Trans Obst Soc (London). 1887;28:209. Boxall RO. Incomplete pericardial sac: escape of heart into pleural cavity. Trans Obst Soc (London). 1887;28:209.
24.
Zurück zum Zitat de Almeida Prado PS, Tavares R. Unexpected death in a newborn due to a congenital partial pericardial defect: a case report. Egypt J Foren Sci. 2022;12. de Almeida Prado PS, Tavares R. Unexpected death in a newborn due to a congenital partial pericardial defect: a case report. Egypt J Foren Sci. 2022;12.
25.
Zurück zum Zitat Faridah Y, Julsrud PR. Congenital absence of pericardium revisited. Int J Cardiovasc Imaging. 2002;18:67–73.CrossRefPubMed Faridah Y, Julsrud PR. Congenital absence of pericardium revisited. Int J Cardiovasc Imaging. 2002;18:67–73.CrossRefPubMed
26.
Zurück zum Zitat Salem DN, Hymanson AS, Isner JM, Bankoff MS, Konstam MA. Congenital pericardial defect diagnosed by computed tomography. Cathet Cardiovasc Diagn. 1985;11:75–9.CrossRefPubMed Salem DN, Hymanson AS, Isner JM, Bankoff MS, Konstam MA. Congenital pericardial defect diagnosed by computed tomography. Cathet Cardiovasc Diagn. 1985;11:75–9.CrossRefPubMed
27.
28.
Zurück zum Zitat Enad JG. Partial absence of pericardium in an endurance athlete. A case report. J Sports Med Phys Fitness. 2002;42:89–91. Enad JG. Partial absence of pericardium in an endurance athlete. A case report. J Sports Med Phys Fitness. 2002;42:89–91.
29.
Zurück zum Zitat Panagiotopoulos N, Barnard J, Wells F. The Snoopy sign. Eur J Cardiothorac Surg. 2014;45:586.CrossRefPubMed Panagiotopoulos N, Barnard J, Wells F. The Snoopy sign. Eur J Cardiothorac Surg. 2014;45:586.CrossRefPubMed
30.
Zurück zum Zitat • Klein AL, Abbara S, Agler DA, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26:965–1012 e15. This is the most recent published guidelines presenting the role of echocardiography, cardiac computed tomography, and cardiac magnetic resonance in pericardial disease. • Klein AL, Abbara S, Agler DA, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26:965–1012 e15. This is the most recent published guidelines presenting the role of echocardiography, cardiac computed tomography, and cardiac magnetic resonance in pericardial disease.
31.
Zurück zum Zitat Shah AB, Kronzon I. Congenital defects of the pericardium: a review. Eur Heart J Cardiovasc Imaging. 2015;16:821–7.CrossRefPubMed Shah AB, Kronzon I. Congenital defects of the pericardium: a review. Eur Heart J Cardiovasc Imaging. 2015;16:821–7.CrossRefPubMed
32.
Zurück zum Zitat Flosdorff P, Paech C, Riede FT, Dahnert I. Odd acoustic window and elongated ventricles: echocardiographic diagnosis of congenital absence of the pericardium. Pediatr Cardiol. 2012;33:1220–1.CrossRefPubMed Flosdorff P, Paech C, Riede FT, Dahnert I. Odd acoustic window and elongated ventricles: echocardiographic diagnosis of congenital absence of the pericardium. Pediatr Cardiol. 2012;33:1220–1.CrossRefPubMed
33.
Zurück zum Zitat Tariq S, Mahmood S, Madeira S, Tarasov E. Congenital complete absence of pericardium masquerading as pulmonary embolism. Heart Views. 2013;14:29–32.CrossRefPubMedPubMedCentral Tariq S, Mahmood S, Madeira S, Tarasov E. Congenital complete absence of pericardium masquerading as pulmonary embolism. Heart Views. 2013;14:29–32.CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Alyami B, Alharbi A, Alhajji M, Gendi S, Hamirani YS. A case report of congenital absence of the pericardium that was diagnosed by cardiac computed tomography angiogram (CCTA). Radiol Case Rep. 2022;17:3380–4.CrossRefPubMedPubMedCentral Alyami B, Alharbi A, Alhajji M, Gendi S, Hamirani YS. A case report of congenital absence of the pericardium that was diagnosed by cardiac computed tomography angiogram (CCTA). Radiol Case Rep. 2022;17:3380–4.CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat • Macaione F, Barison A, Pescetelli I, et al. Quantitative criteria for the diagnosis of the congenital absence of pericardium by cardiac magnetic resonance. Eur J Radiol. 2016;85:616–24. This study highlights the role of cardiag magnetic resonance in establishing the diagnosis of congenital pericardial defect. • Macaione F, Barison A, Pescetelli I, et al. Quantitative criteria for the diagnosis of the congenital absence of pericardium by cardiac magnetic resonance. Eur J Radiol. 2016;85:616–24. This study highlights the role of cardiag magnetic resonance in establishing the diagnosis of congenital pericardial defect.
36.
Zurück zum Zitat Robin E, Ganguly SN, Fowler MS. Strangulation of the left atrial appendage through a congenital partial pericardial defect. Chest. 1975;67:354–5.CrossRefPubMed Robin E, Ganguly SN, Fowler MS. Strangulation of the left atrial appendage through a congenital partial pericardial defect. Chest. 1975;67:354–5.CrossRefPubMed
37.
Zurück zum Zitat Miller DL, Katz NM, Kulkarni PK, Green CE. Right congenital pericardial defects. Am Heart J. 1993;126:1235–8.CrossRefPubMed Miller DL, Katz NM, Kulkarni PK, Green CE. Right congenital pericardial defects. Am Heart J. 1993;126:1235–8.CrossRefPubMed
Metadaten
Titel
Multimodality Imaging Approach Evaluation of the Congenital Pericardial Defect: a Contemporary Review
verfasst von
Mohamed Khayata
Alice A. Haouzi
Craig R. Asher
Bo Xu
Publikationsdatum
07.12.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 12/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-02004-3

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