No abstract available.
Pericardium*

No abstract available.
Mesothelioma ; Pericardium

No abstract available.
Aortic Valve Insufficiency* ; Pericardium*

Objective: The main objective of this study is to determine if epicardial fat thickness can be an early marker of insulin resistance. The specific objectives are to determine the specific thickness of epicardial fat that will correlate with insulin resistance and to correlate epicardial fat thickness with co-morbidities, anthropometric measurements and other clinical variables. Methodology: Patients were enrolled into the study by purposive sampling. Insulin assay, fasting blood sugar (FBS) and 2D echocardiogram measuring the epicardial fat were requested. HOMA-IR was computed and correlated with epicardial fat thickness. SPSS version 19 and Epi info v3.5.1 were used for statistical analysis. Linear regression analysis was performed on all variables to identify correlates with epicardial fat thickness. Results: A total of 22 subjects were included in the study. Insulin resistance determined using HOMA-IR, as well as BMI and fasting insulin level showed significant correlation with epicardial fat thickness (p-value <0.01). Based on the analysis, 9.5 mm was found to be the most sensitive and specific measurement for epicardial fat thickness that is correlated to insulin resistance with sensitivity of 100% and specificity of 86%. Conclusions Epicardial fat thickness through routine 2D echocardiogram is significantly directly correlated with insulin resistance and 9.5 mm is the cut–off value for predicting insulin resistance.
Echocardiography ; Pericardium ; Insulin Resistance

Epicardium is one of the important components of the heart and plays a critical role in cardiogenesis. Moreover, further studies have shown that epicardium contributes to post-injury heart regeneration. After heart injury, epicardium secretes various signaling factors, regulating the cardiomyocyte proliferation and neovascularization. In addition, epicardium differentiates into many kinds of cells which take part in the heart repair in response to heart damage. In this review, we summarize recent progress on epicardial function, related signaling pathways and the potential clinical application, and provide a reference for future studies in epicardium and heart regeneration.
Heart ; Pericardium ; Regeneration ; Signal Transduction

Hemangioma, Cavernous ; Humans ; Pericardium ; pathology

internal thoracic artery is used in myocardial revascularization because of many advantages. However, it may not be appropriate in the usual extrapleural or intrapleural route, because it can be easily displaced and injured due to the slender and weak characteristics. We introduce here, a simple technique of repositioning the skeletonized left internal thoracic artery in a stable and straight course by creating a tunnel between the left lateral pericardium and thymic tissue.
Mammary Arteries* ; Myocardial Revascularization ; Pericardium ; Skeleton*

Congenital absence of the pericardium is thought to be uncommon. There are two types, complete and partial, of different clinical features. Complete type is innocuous but partial type is potentially fatal due to herniation. This case was referred for an unusual appearance of chest radiograph taken after admissio n for bronchopneumoia without any cardiac symptoms. Plain chest radiograph showed an unusual bulging on the left inferior cardiac boarder. The diagnosis was made on the characteristic findings as a partial defect of right side pencardium in the cardiac gated cinemagnetic resonance imaging study. We presented a case of pericardial defect with brief review of the related literatures.
Diagnosis ; Magnetic Resonance Imaging ; Pericardium ; Radiography, Thoracic

Pericardial cysts are uncommon benign congenital mediastinal lesions and they are most often found in either cardiophrenic angle. We present here one case of atypically located pericardial cyst that was located in the subpulmonary region. The clinicians should take into consideration this entity in the differential diagnosis of cystic lesion of the mediastinum. The diagnostic difficulties that are encountered and the utility of video-assisted thoracoscopy are described.
Diagnosis, Differential ; Mediastinal Cyst* ; Mediastinum ; Pericardium ; Thoracoscopy

The accumulation of fluid in the pericardium in an amount sufficient to cause serious obstruction to the inflow of blood to the ventricles results in cardiac tamponade. This complication may be fatal if it is not recognized and treated promptly. We report a case of cardiac tamponade caused by acute pancreatitis, which resolved after catheter drainage.
Cardiac Tamponade* ; Catheters ; Drainage ; Pancreatitis* ; Pericardium