IMAGES IN CLINICAL PRACTICE
|Year : 2022 | Volume
| Issue : 4 | Page : 507
Partial left pericardial agenesis in a neonate
Ankur Mandelia1, Anita Singh2
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 Submission||21-Jun-2021|
|Date of Decision||04-Mar-2022|
|Date of Acceptance||16-Apr-2022|
|Date of Web Publication||26-Jul-2022|
Department of Pediatric Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow - 226 014, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Mandelia A, Singh A. Partial left pericardial agenesis in a neonate. J Indian Assoc Pediatr Surg 2022;27:507
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. Smaller defects with the potential to cause strangulation should be carefully evaluated for pericardial reconstruction.
|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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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 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.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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