Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review
Objective: Congenital absence of the pericardium (CAP) is a rare heart disorder, frequently misdiagnosed due to an unspecific clinical picture and leading to diagnostic challenges. The purpose of this case presentation is to show how cardiac imaging methods can aid in accurate diagnosis of CAP. Ca...
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| Format: | Article |
| Language: | English |
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Center for Scientific Research and Development of Education.
2025-07-01
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| Series: | Heart Vessels and Transplantation |
| Subjects: | |
| Online Access: | http://hvt-journal.com/articles/art577 |
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| author | Nelya Oryshchyn Yuriy Ivaniv Veronika Yevtukh Anastasiya Oryshchyn |
| author_facet | Nelya Oryshchyn Yuriy Ivaniv Veronika Yevtukh Anastasiya Oryshchyn |
| author_sort | Nelya Oryshchyn |
| collection | DOAJ |
| description | Objective: Congenital absence of the pericardium (CAP) is a rare heart disorder, frequently misdiagnosed due to an unspecific clinical picture and leading to diagnostic challenges. The purpose of this case presentation is to show how cardiac imaging methods can aid in accurate diagnosis of CAP.
Case presentation: A case of the complete congenital absence of the pericardium in a 40-year-old man with complaints on dyspnea and fatigue is presented. Echocardiography revealed a dilated right ventricle with good contractility; normal dimensions and function of the left ventricle, and normal heart valve function. Pulmonary hypertension and atrial septal defect were excluded during echocardiography. Computed tomography revealed abnormal heart axis rotation leftward and posteriorly, raising suspicion of CAP. The diagnosis was confirmed by cardiac magnetic resonance imaging . The diagnostic flowchart for the CAP is discussed.
Conclusion: Multimodality cardiac imaging provides clues to the diagnosis of CAP. |
| format | Article |
| id | doaj-art-ffa6cfc0dec64589a90c110f7c1c44f8 |
| institution | Matheson Library |
| issn | 1694-7886 1694-7894 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Center for Scientific Research and Development of Education. |
| record_format | Article |
| series | Heart Vessels and Transplantation |
| spelling | doaj-art-ffa6cfc0dec64589a90c110f7c1c44f82025-07-06T11:49:03ZengCenter for Scientific Research and Development of Education.Heart Vessels and Transplantation1694-78861694-78942025-07-019310.24969/hvt.2025.577Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature reviewNelya Oryshchyn0https://orcid.org/0000-0003-3758-9181Yuriy Ivaniv1https://orcid.org/0000-0002-2153-9262Veronika Yevtukh2https://orcid.org/0000-0001-6737-7791Anastasiya Oryshchyn3https://orcid.org/0009-0005-4617-5054Diagnostic Radiology Department, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine; Cardiology Department, Lviv Regional Centre of Cardiology, Lviv, UkraineDiagnostic Radiology Department, Danylo Halytsky Lviv National Medical University, Lviv, UkraineDiagnostic Radiology Department, Danylo Halytsky Lviv National Medical University, Lviv, UkraineCardiology Department, Lviv Regional Centre of Cardiology, Lviv, UkraineObjective: Congenital absence of the pericardium (CAP) is a rare heart disorder, frequently misdiagnosed due to an unspecific clinical picture and leading to diagnostic challenges. The purpose of this case presentation is to show how cardiac imaging methods can aid in accurate diagnosis of CAP. Case presentation: A case of the complete congenital absence of the pericardium in a 40-year-old man with complaints on dyspnea and fatigue is presented. Echocardiography revealed a dilated right ventricle with good contractility; normal dimensions and function of the left ventricle, and normal heart valve function. Pulmonary hypertension and atrial septal defect were excluded during echocardiography. Computed tomography revealed abnormal heart axis rotation leftward and posteriorly, raising suspicion of CAP. The diagnosis was confirmed by cardiac magnetic resonance imaging . The diagnostic flowchart for the CAP is discussed. Conclusion: Multimodality cardiac imaging provides clues to the diagnosis of CAP.http://hvt-journal.com/articles/art577congenital absence of the pericardiumechocardiographycomputed tomographycardiac magnetic resonance imaging |
| spellingShingle | Nelya Oryshchyn Yuriy Ivaniv Veronika Yevtukh Anastasiya Oryshchyn Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review Heart Vessels and Transplantation congenital absence of the pericardium echocardiography computed tomography cardiac magnetic resonance imaging |
| title | Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review |
| title_full | Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review |
| title_fullStr | Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review |
| title_full_unstemmed | Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review |
| title_short | Multimodality cardiovascular imaging in the complete congenital absence of the pericardium: case report and brief literature review |
| title_sort | multimodality cardiovascular imaging in the complete congenital absence of the pericardium case report and brief literature review |
| topic | congenital absence of the pericardium echocardiography computed tomography cardiac magnetic resonance imaging |
| url | http://hvt-journal.com/articles/art577 |
| work_keys_str_mv | AT nelyaoryshchyn multimodalitycardiovascularimaginginthecompletecongenitalabsenceofthepericardiumcasereportandbriefliteraturereview AT yuriyivaniv multimodalitycardiovascularimaginginthecompletecongenitalabsenceofthepericardiumcasereportandbriefliteraturereview AT veronikayevtukh multimodalitycardiovascularimaginginthecompletecongenitalabsenceofthepericardiumcasereportandbriefliteraturereview AT anastasiyaoryshchyn multimodalitycardiovascularimaginginthecompletecongenitalabsenceofthepericardiumcasereportandbriefliteraturereview |