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Angiology
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Cardiac Displacement with a Congenital Complete Left-Sided Pericardial Defect in a Patient with Exertional Angina Pectoris

A Case Report

Sunao Kojima, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan

Taishi Nakamura, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan

Seigo Sugiyama, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan

Tomohiro Sakamoto, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan

Michihiro Yoshimura, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan

Toshiaki Arima, MD

Department of First Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

Ryusuke Suzuki, MD

Department of First Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

Michio Kawasuji, MD

Department of First Surgery, Kumamoto University School of Medicine, Kumamoto, Japan

Hisao Ogawa, MD

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan, ogawah{at}kumamoto-u.ac.jp

A 71-year-old man with exertional chest pain was admitted to the hospital. A chest roentgenogram exhibited levoposition of the heart. An electrocardiogram showed clockwise rotation in the precordial leads and ST depression in V6, V7, V8, and V9 as well as in II, III, aVF leads associated with chest pain in a treadmill exercise test. The congenital complete left-sided pericardial defect could not be diagnosed preoperatively, but it was confirmed by thoracotomy.

Angiology, Vol. 55, No. 4, 445-449 (2004)
DOI: 10.1177/000331970405500412


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