Pericardial agenesis

Case contributed by Gregory Compton
Diagnosis almost certain

Presentation

Dyspnea, ECG changes, and exertional chest pain

Patient Data

Gender: Female
mri
  • interposition of lung between main pulmonary artery and ascending aorta
  • deviation of cardiac apex to a more lateral position and shift of heart to left hemithorax
  • positional deviation of cardiac apex >7mm

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