What is the normal Pericardial thickness ?
An unusal conversation with a flamboyant student fellow,
May I know , What is the normal Pericardial thickness, ?
Which pericardium you mean sir ? ,Parietal or visceral?
Would like to know both .
It is variable sheet of tissue .You want the thinnest part or thickest part ?
Don’t beat around the bush .Tell some answer.
You want, autopsy thickness, or real life thickness as surgeon sees it ?
I want it in practical Imaging modality
Do you want Echo, CT or MRI thickness ?
I should say , its too much for a first-year fellow in reverse questioning!
Ok relax sir, shall I tell the systolic or diastolic thickness?
So, you decided to spoil my day.
Ok, one final clarification sir,, you want thickenss over anterior RV aspect or over posterior atria ?
You are getting on my nerves. Thankyou, will you please leave the class .
Yes, pericardial anatomy ,can indeed make us crazy. Let us try to get some answer .
Whenever some one is asking about pericardial thickness, it generally mean the parietal,thicker fibrous outer layer. It’s about 1 to 4 mm*, never more than 3 -4 mm .As we can see, it is a highly variable sheet of folded tissue with different adherent surfaces. The visceral pericardium is very much less than 1 mm, in fact,it need to be measured in microns. It is called the epicardium and adheres seamlessly to the myocardium with intervening fat. (Sub epicardial fat)
Ref: Normal pericardium measures 0.4–1.0 mm thick i...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized Source Type: blogs
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