NDLI: Complete congenital pericardial defect found during S1 + 2 segment excision of the left upper lung by single-aperture thoracoscopy: a case report

Content Provider	Springer Nature : BioMed Central
Author	Wang, Xiao Liu, Jian Zhan, Bichen Gu, Mingbo
Abstract	Background Congenital pericardial defect (CPD) is a rare congenital heart malformation with atypical clinical symptoms. Case presentation The 69-year-old woman was referred because a 23-mm mixed ground glass shadow was found in the apicoposterior segment (S1 + 2) of the left lung. The S1 + 2 segment excision of the left upper lung was performed under uni-portal fluorescence thoracoscopy. Intraoperatively, an unintentional complete absence of the pericardium was discovered, with the phrenic nerve running behind the sternum. To reduce the intraoperative stimulation of the heart and prevent postoperative friction of the bronchial stump against the left atrial appendage, the pulmonary hilum was not separated, and the intersegmental vein (V1 + 2b + c) was not cut off. Given the patient’s lack of symptoms and the low risk of cardiac hernia, no specific pericardial surgery was performed. The patient was well at the 1-month postoperative follow-up. Conclusions This paper reports a case of complete pericardial defect accidentally found during left upper lung S1 + 2 segmentectomy under single-hole thoracoscopy, summarizes the main points of diagnosis and surgical precautions, and provides experience reference for similar clinical cases.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/s13019-025-03390-1.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/s13019-025-03390-1
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2025-03-21
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Congenital pericardial defect Pulmonary segmentectomy Pulmonary nodules Thoracoscope Case report
Content Type	Text
Resource Type	Case study
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

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