Pendulous Heart with Alternating Axis: A Suspicious Clue for Diagnosis of a Rare Disease

Abbas Ali  Rafighdoust; Hoorak  Poorzand; Amir Hossein  Rafighdoust; Reza Jafarzadeh Esfehani; Milad  Hemati; Mohammad  Vojdanparast

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Pendulous Heart with Alternating Axis: A Suspicious Clue for Diagnosis of a Rare Disease

Author(s):

Abbas Ali Rafighdoust¹,

Hoorak Poorzand¹,

Amir Hossein Rafighdoust¹,

Reza Jafarzadeh Esfehani²,

Milad Hemati¹,

Mohammad Vojdanparast^1,*

1Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran

International Cardiovascular Research Journal:Vol. 9, issue 1; e11672

Published online:Mar 01, 2015

Article type:Case Report

Received:Apr 18, 2017

Accepted:Oct 02, 2014

How to Cite:Abbas Ali RafighdoustHoorak PoorzandAmir Hossein RafighdoustReza Jafarzadeh EsfehaniMilad HematiMohammad Vojdanparastet al.Pendulous Heart with Alternating Axis: A Suspicious Clue for Diagnosis of a Rare Disease.Int Cardiovasc Res J.9(1):e11672.

Abstract

Absence of pericardium is a rare type of pericardial disorders. Left sided pericardial absence is more common than the right one. This disorder may present with a variety of signs and symptoms or abnormalities in electrocardiography and echocardiography. In this report, we discussed diagnosis of partial absence of pericardium in a 52-year-old man presented with a dull left-sided chest pain from 4 months ago with special electrocardiographic features. The axis deviations in his serial electrocardiograms led us to further evaluations with possible diagnosis of pericardial absence. His echocardiography and Magnetic Resonance Imaging (MRI) confirmed the suspicion of pericardial absence. Suspicion of potentially life-threatening cardiac abnormalities should remain even while facing atypical chest pain or other non-specific symptoms. In this case, abnormal electrocardiographic and chest X-Ray findings together with echocardiography were all helpful in referring the patient for cardiac MRI as the imaging modality of choice in such cases.

Keywords

Pericardium

Chest Pain

Echocardiography

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