Xu Bo, Betancor Jorge, Asher Craig, Rosario Adriana, Klein Allan
Section of Cardiovascular Imaging, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
Cardiology. 2017;136(4):270-278. doi: 10.1159/000452441. Epub 2016 Dec 7.
Congenital absence of the pericardium (CAP) is a rare condition. Failure to recognize the clinical features of this condition can lead to incorrect and delayed diagnosis. Limited data are available regarding the optimal approach to diagnose and manage patients with suspected CAP. Due to the rare nature of CAP, this condition can present diagnostic and management dilemmas for clinicians. Using 3 cases of CAP as a framework, a clinically focused review on the diagnosis and management of CAP is presented. Clinicians will be provided with a systematic approach to evaluating patients with suspected CAP, incorporating key history, examination, and multimodality cardiovascular imaging investigations.
先天性心包缺如(CAP)是一种罕见的病症。未能识别该病症的临床特征可能导致诊断错误和延误。关于诊断和管理疑似CAP患者的最佳方法,可用数据有限。由于CAP的罕见性,这种病症会给临床医生带来诊断和管理方面的难题。本文以3例CAP病例为框架,对CAP的诊断和管理进行了以临床为重点的综述。将为临床医生提供一种系统的方法,用于评估疑似CAP患者,包括关键病史、体格检查和多模态心血管成像检查。