Pernot C, Hoeffel J C, Henry M, Frisch R, Brauer B
Thorax. 1972 Mar;27(2):246-50. doi: 10.1136/thx.27.2.246.
A case is reported of herniation of the left atrial appendage through a partial pericardial defect, probably congenital. The diagnosis was suggested by the history of chest pain and bulging of the middle segment of the left heart border on the plain chest film, without other signs. Angiography revealed a dilated left atrial appendage. An artificial left pneumothorax confirmed the presence of a pleuropericardial defect. The surgical procedure included excision of the appendage and closure of the defect.
报道了一例左心耳通过部分心包缺损（可能为先天性）疝出的病例。胸痛病史及胸部平片显示左心缘中段膨隆而无其他体征提示了该诊断。血管造影显示左心耳扩张。人工左侧气胸证实了胸膜心包缺损的存在。手术步骤包括切除心耳及闭合缺损。
