Highlights • Congenital partial pericardial defects are rare but can cause cardiac herniation.• Pneumopericardium combined with pneumothorax suggests pericardial defect.• Pneumothorax may worsen the heart protruding through the pericardial defect.•… Click to show full abstract
Highlights • Congenital partial pericardial defects are rare but can cause cardiac herniation.• Pneumopericardium combined with pneumothorax suggests pericardial defect.• Pneumothorax may worsen the heart protruding through the pericardial defect.• VATS should be considered in the patients with a pericardial defect.
               
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