Left Ventricular Pericardial Strangulation: A Diagnostic Challenge in Acute Coronary Syndrome
By: Sergey Yakovlev and Anna Gvozdeva
References
- Van Son JA, Danielson GK, Schaff HV, Mullany CJ, Julsrud PR, Breen JF. Congenital partial and complete absence of the pericardium. Mayo Clin Proc. 1993 Aug;68(8):743-7. doi: 10.1016/s0025-6196(12)60630-2
- Wilson SR, Kronzon I, Machnicki SC, Ruiz CE. A constrained heart: a case of sudden onset unrelenting chest pain. Circulation. 2014 Oct 28;130(18):1625-31. doi: 10.1161/CIRCULATIONAHA.114.011410
- Izumoto S, Oguri N, Koyama S, et al. Cardiac Strangulation Due to Partial Pericardial Defect Presenting as Acute Myocardial Infarction. JACC Case Rep. 2021 Oct 20;3(14):1635-1638. doi: 10.1016/j.jaccas.2021.07.029
- Steinberg C, Pelletier MJ, Perron J, Kumar A, Champagne J. Sudden cardiac arrest due to subtotal absence of left-sided pericardium--case report and review of the literature. Congenit Heart Dis. 2013 May-Jun;8(3):E92-8. doi: 10.1111/j.1747-0803.2012.00686.x
- Miyagi C, Ochiai Y, Ando Y, et al. A case of cardiac strangulation following epicardial pacemaker implantation. Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1499-1502. doi: 10.1007/s11748-020-01337-y
- Hwang SJ, Kim SJ, Kim KS. A strangled heart by calcified pericardial band: a rare case of localized pericardial constriction detected by chance. Eur Heart J. 2008 Nov;29(22):2799. doi: 10.1093/eurheartj/ehn240
- Lindenmann J, Matzi V, Neuboeck N, et al. Traumatic pericardial rupture with cardiac herniation. Ann Thorac Surg. 2010 Jun;89(6):2028-30. doi: 10.1016/j.athoracsur.2009.10.048
- Cao Y, Huang M, Liu X, Mao X, Shi H. Congenital partial pericardial defect and concomitant right ventricular herniation. Eur Heart J Cardiovasc Imaging. 2025 Mar 27;26(4):767. doi: 10.1093/ehjci/jeaf003
- Chang CH, Leigh TF. Congenital partial defect of the pericardium associated with herniation of the left atrial appendage. Am J Roentgenol Radium Ther Nucl Med. 1961 Sep;86:517-22. PMID: 13692318
- Gassner I, Judmaier W, Fink C, et al. Diagnosis of congenital pericardial defects, including a pathognomic sign for dangerous apical ventricular herniation, on magnetic resonance imaging. Br Heart J. 1995 Jul;74(1):60-6. doi: 10.1136/hrt.74.1.60
- Verhaert D, Gabriel RS, Johnston D, Lytle BW, Desai MY, Klein AL. The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 2010 May;3(3):333-43. doi: 10.1161/CIRCIMAGING.109.921791
- Rusk RA, Kenny A. Congenital pericardial defect presenting as chest pain. Heart. 1999 Mar;81(3):327-8. doi: 10.1136/hrt.81.3.327
- Risher WH, Rees AP, Ochsner JL, McFadden PM. Thoracoscopic resection of pericardium for symptomatic congenital pericardial defect. Ann Thorac Surg. 1993 Dec;56(6):1390-1. doi: 10.1016/0003-4975(93)90689-f
- Montaudon M, Roubertie F, Bire F, Laurent F. Congenital pericardial defect: report of two cases and literature review. Surg Radiol Anat. 2007 Apr;29(3):195-200. doi: 10.1007/s00276-007-0198-0
DOI: https://doi.org/10.14797/mdcvj.1743 | Journal eISSN: 1947-6108
Language: English
Page range: 14 - 18
Submitted on: Nov 19, 2025
Accepted on: Jan 16, 2026
Published on: Feb 17, 2026
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services
Keywords:
© 2026 Sergey Yakovlev, Anna Gvozdeva, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.