Canadian Journal of Cardiology
Training/Practice: Contemporary Issues in Cardiology Practice|Articles in Press

Congenital Disorders of the Pericardium

Published:March 15, 2023DOI:
      Congenital pericardial disorders include partial or complete absence of the pericardium, pericardial cysts and diverticula. These are rare lesions that are often mistaken for more common conditions. This review summarizes the diagnostic features, both clinical and through multimodal imaging, to provide clinicians the tools needed to recognize congenital pericardial disorders – and those rare occasions when these disorders have important clinical consequences. Cardiac magnetic resonance imaging is the gold standard for imaging of the pericardium. High quality evidence is lacking for definitive guidance on treatment, however management should be individualized to the patient’s symptoms and the hemodynamic impact of the disorder.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Canadian Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Shah AB
        • Kronzon I
        Congenital defects of the pericardium: a review.
        Eur Heart J - Cardiovasc Imaging. 2015; 16: 821-827
        • Parmar YJ
        • Shah AB
        • Poon M
        • Kronzon I
        Congenital Abnormalities of the Pericardium.
        Cardiol Clin. 2017; 35: 601-614
        • Schweigert M
        • Dubecz A
        • Beron M
        • Ofner D
        • Stein HJ
        The Tale of Spring Water Cysts.
        Tex Heart Inst J. 2012; 39: 330-334
        • Alkharabsheh S
        • Gentry Iii, JL
        • Khayata M
        • et al.
        Clinical Features, Natural History, and Management of Pericardial Cysts.
        Am J Cardiol. 2019; 123: 159-163
        • Hsu DS
        • Banks KC
        • Velotta JB
        Surgical approaches to mediastinal cysts: clinical practice review.
        Mediastinum Hong Kong China. 2022; 6: 32