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Absent pericardium: at risk for endocarditis?

Authors
  • Sivaprakasam, Muthukumaran C
  • Narayanan, Arul
  • Vettukattil, Joseph J
Type
Published Article
Journal
Cardiology in the young
Publication Date
Apr 01, 2006
Volume
16
Issue
2
Pages
182–183
Identifiers
PMID: 16553982
Source
Medline
License
Unknown

Abstract

A 16-year-old girl with no previous cardiac problems presented to the casualty with septic shock. Investigations revealed endocarditis involving the mitral valve. At the time of surgery, she was noted to have a large left atrial appendage herniating into the left pleural cavity due to partial absence of the pericardium. Complete or partial absence of the pericardium is an uncommon congenital anomaly. Though various complications and presentations are reported, it has not been identified as a risk factor for endocarditis. We discuss the possible mechanism, and need for prophylaxis against endocarditis, in patients with absence of the pericardium.

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