Magnetic Resonance Imaging Differentiated Partial From Complete Absence of the Left Pericardium in a Case of Leftward Displacement of the Heart
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概要
- 論文の詳細を見る
A 44-year-old man was referred to hospital for the evaluation of atypical chest pain. His chest X-ray showed left-ward displacement of the heart. During echocardiography, the apical window displaced laterally in the usual left lateral position and characteristic motions of the interventricular septum and left ventricular posterior wall were recognized with postural alterations. We presumed a complete absence of the left pericardium. Magnetic resonance imaging (MRI), however, demonstrated a partial left-sided pericardium. The diagnosis was corrected to partial absence of the left pericardium and we have carefully followed up this case without surgical prophylactic intervention. It is very important to differentiate partial from complete absence of the pericardium, because only in patients with partial absence of the pericardium is there a risk of fatal myocardial strangulation. The features of the chest X-ray and echocardiography of this case, which strongly suggested complete absence of the left pericardium, are possibly not always reliable signs. In cases with these abnormal imaging features, MRI may provide additional useful information, as in this case.
- 社団法人日本循環器学会の論文
- 2004-03-20
著者
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AZUMA Akihiro
Department of Cardiology, National Shiga Hospital
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Nakamura T
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Azuma A
Department Of Cardiology National Shiga Hospital
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Azuma Akihiro
松下電器健康保険組合松下記念病院
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Sawada Takahisa
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Azuma Akihiro
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Nakagawa Masao
Kyoto Prefectural University Of Medicine
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Nakagawa Masao
京都府立医科大学 内科学第2
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Nakagawa Masao
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Yamano Tetsuhiro
Department Of Cardiology Kouseikai Takeda Hospital
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Yamano Tetsuhiro
Second Department of Internal Medicine, Kyoto Prefectural University of Medicine
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Sakamoto Kenzo
Second Department of Internal Medicine, Kyoto Prefectural University of Medicine
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Nakamura Takeshi
Second Department of Internal Medicine, Kyoto Prefectural University of Medicine
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Sakamoto Kenzo
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Azuma Aklhiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Azuma Akihiro
The Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Nakagawa Masao
Keio Univ. Yokohama‐shi Jpn
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Sawada Takahisa
Department Of Pharmacology Osaka Medical College
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Nomura Tetsuya
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Nakagawa M
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Nakamura Takeshi
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Nomura Tetsuya
Department Of Cardiovascular Medicine Nantan General Hospital
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Tanda Syuji
Division Of Hypertension And Nephrology Department Of Internal Medicine Kyoto Prefectural University
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Nakamura Takeshi
Kyoto Prefectural University Of Medicine Department Of Cardiology
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Azuma Akihiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Nakamura Mitsuo
Internal Medicine Social Insurance Kobe Central Hospital And The Second Department Of Medicine Kyoto
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural Medical College
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AZUMA Akihiro
Second Department of Medicine and, Kyoto Prefectural University of Medicine
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