EURORAD ESR

Case 13206

Congenital Pericardial Defect

Author(s)
Penha D1, Reddy B2, Pinto EG3, Costa A1, Binukrishnan S2, Irion KL2

1- Hospital Fernando Fonseca, Serviço de Imagiologia, Lisbon, Portugal
Email:dianapenha@gmail.com
2- Liverpool Heart and Chest Hospital, Radiology Department, Liverpool, UK
3- Lincoln County Hospital, Interventional Radiology Department, Lincoln, UK
 
Patient
male, 42 year(s)
 
 
  • Figure 1
    Chest plain film

    Frontal radiogram displays levodisplacement of the heart and aortic knob, with the trachea remaining

     
    Area of Interest: Cardiac; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
  • Figure 2
    CT axial image

    CT axial image shows normal cardiac anatomic position.

     
    Area of Interest: Cardiac; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
  • Figure 3
    CT coronary angiography axial image

    Axial CT images shows levodisplacement and posterior rotation of the heart, with compression of the left lung.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
  • Figure 4
    CT axial images

    Images at the same anatomic level: (a) calcium score protocol (b) coronary angiography shows the Levodisplacement and rotation of the heart with compression of the left superior pulmonary veins /adjacent left lung.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
  • Figure 5
    CT axial image

    Coronary angiography axial slice shows the pericardium layer covering the right side of the heart.

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Genetic defects;
     
     
Frontal radiogram displays levodisplacement of the heart and aortic knob, with the trachea remaining
 
CT axial image shows normal cardiac anatomic position.
 
Axial CT images shows levodisplacement and posterior rotation of the heart, with compression of the left lung.
 
Images at the same anatomic level: (a) calcium score protocol (b) coronary angiography shows the Levodisplacement and rotation of the heart with compression of the left superior pulmonary veins /adjacent left lung.
 
Coronary angiography axial slice shows the pericardium layer covering the right side of the heart.
 
 
 
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