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Congenital Pericardial Defect, A Report of Two Cases.

Journal of the Korean Pediatric Society 1990;33(5):680-683.
Published online May 31, 1990.
Congenital Pericardial Defect, A Report of Two Cases.
Young Sook Lee, Chang Youn Lee, Young Hwue Kim, Jung Yun Choi
Department of Pediatrics, College of Medicine, Seoul National University Hosptial, Seoul, Korea
선천성 심낭결손증 2례
이영숙, 이창연, 김영휘, 최정연
서울대학교 의과대학 소아과학교실
Received: 27 July 1989   • Accepted: 8 November 1989
This report describes two confirmed cases of partial pericardial defect which presented in complete- ly different way. The first case was referred with the chief complaint of chest pain. This case showed typical chest X-Ray and echocardiographic findings. In view of frequent chest pain, this case was operated on and the defect was closed with patch. In the second case, defect was incidentally found at operation for the associated ventricular septal defect. No part of heart protruded through the defect. Apart from the findings of ventricular septal defect, there was no any other signs suggestive of pericardial defect in the second case. Congenital pericardial defect is very rare and two different types, partial and complete, of different significance have been recognized. Complete defect is known to be innocuous but partial defect is potentially lethal. Thus early recognition and proper management of partial defect is very important to prevent fatal outcome.
Key Words: Congenital pericardial defect

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