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Agenesis of Pericardium (congenital Absence of it)

Surpising intraopearative finding during left thoracocotomy through the bed of the 6th rib (i.e. the 5th intespace) in a 27-yo male smoker's case.

The thoracotomy was undertaken for resection of a mediastinal bronchogenic cyst.

The cyst was abutting the conus arteriosus or pulmonary trunk and measuring 5 x 4.5 x 3.5 cm.
  • Preoperative CXR of the case with Agenesis of Pericardium: the bronchogenic cyst is shown by YELLOW arrows

    Preoperative CXR of the case with Agenesis of Pericardium: the bronchogenic cyst is shown by YELLOW arrows.

  • Preoperative CT of the case with Agenesis of Pericardium: YELLOW arrows show the bronchogenic cyst. BLUE: conus arteriosus. RED: aortic arch

    Preoperative CT of the case with Agenesis of Pericardium: YELLOW arrows show the bronchogenic cyst. BLUE: conus arteriosus. RED: aortic arch

  • Preoperative MRI of the case with Agenesis of Pericardium: YELLOW arrows show the bronchogenic cyst

    Preoperative MRI of the case with Agenesis of Pericardium: YELLOW arrows show the bronchogenic cyst

  • Intraoperative photograph of the case with Agenesis of Pericardium: the coronary vessels are clearly seen on the bare myocardium

    Intraoperative photograph of the case with Agenesis of Pericardium: the coronary vessels are clearly seen on the bare myocardium

  • Intraoperative photograph of the case with Agenesis of pericardium: the myocardium comes into view after having retracted the left lung by a swap

    Intraoperative photograph of the case with Agenesis of pericardium: the myocardium comes into view after having retracted the left lung by a swap

  • specimen of the bronchogenic cyst resected

    Specimen of the bronchogenic cyst resected

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