Kaneko Y, Okabe H, Nagata N
Department of Thoracic and Cardiovascular Surgery, Kanagawa Children's Medical Center, 2-138-4, Mutsukawa Minami-ku, Yokohama 232, Japan.
Pediatr Cardiol. 1998 Sep-Oct;19(5):414-7. doi: 10.1007/s002469900338.
We report a patient with complete left pericardial defect whose phrenic nerve, split into two portions, passes both ventral and dorsal to the defect. The dorsal part of the phrenic nerve passes over the ventral surface of the pulmonary artery and veins, indicating that the pericardio-pleural foramen has been obliterated. Contrary to the widely accepted embryogenic theory that pericardial defect results from persistence of the pericardiopleural foramen, we consider that the defect in this patient resulted from a tear in the pericardio-pleural membrane immediately lateral to the common cardinal vein.
我们报告了一名患有完全性左心包缺损的患者，其膈神经分为两部分，分别从缺损的腹侧和背侧通过。膈神经的背侧部分经过肺动脉和肺静脉的腹面，表明心包胸膜孔已闭塞。与广泛接受的心包缺损是由于心包胸膜孔持续存在的胚胎发生理论相反，我们认为该患者的缺损是由于紧靠总主静脉外侧的心包胸膜膜撕裂所致。
