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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Table of Contents   
IMAGES IN CLINICAL PRACTICE
Year : 2022  |  Volume : 27  |  Issue : 4  |  Page : 507
 

Partial left pericardial agenesis in a neonate


1 Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Neonatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Date of Submission21-Jun-2021
Date of Decision04-Mar-2022
Date of Acceptance16-Apr-2022
Date of Web Publication26-Jul-2022

Correspondence Address:
Ankur Mandelia
Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow - 226 014, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.jiaps_131_21

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How to cite this article:
Mandelia A, Singh A. Partial left pericardial agenesis in a neonate. J Indian Assoc Pediatr Surg 2022;27:507

How to cite this URL:
Mandelia A, Singh A. Partial left pericardial agenesis in a neonate. J Indian Assoc Pediatr Surg [serial online] 2022 [cited 2022 Aug 9];27:507. Available from: https://www.jiaps.com/text.asp?2022/27/4/505/352278




A male neonate with an antenatal diagnosis of congenital pulmonary airway malformation (CPAM) of the left upper lobe developed respiratory distress soon after birth. A chest X-ray and computed tomography angiogram confirmed the findings of left upper lobe CPAM. The patient was planned for left upper lobectomy on day 2 of life. A left posterolateral thoracotomy revealed the findings consistent with CPAM, and a left upper lobectomy was performed. In addition, a partial left pericardial defect with herniation of the left atrial appendage was discovered [[Figure 1], Video 1[Additional file 1]]. As the pericardial defect was not found to be strangulating, it was not reconstructed. The procedure was well tolerated; the neonate made an uneventful recovery and was discharged in a healthy condition. Partial left pericardial agenesis with herniation of the left atrial appendage is a rare anomaly which is usually discovered incidentally.[1] Smaller defects with the potential to cause strangulation should be carefully evaluated for pericardial reconstruction.[2]
Figure 1: Operative photograph of surgical field after left upper lobectomy for congenital pulmonary airway malformation showing partial left pericardial defect with herniation of left atrial appendage

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's parent has given consent for images and other clinical information to be reported in the journal. The patient's parent understands that the names and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Chuah J, Rajah S. Bronchogenic cyst associated with partial congenital absence of pericardium. J Pediatr Surg Case Rep 2018;33:17-9.  Back to cited text no. 1
    
2.
Kamata T, Yoshida S, Iwata T, Nakatani Y, Yoshino I. Giant bronchogenic cyst with pericardial defect: A case report & literature review in Japan. J Thorac Dis 2016;8:E684-8.  Back to cited text no. 2
    


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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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