Surgical resection of a giant pericardial cyst: a case report.
Case report
Clinical course
Differential diagnosis
Pericardial cyst
Surgical resection
Journal
European heart journal. Case reports
ISSN: 2514-2119
Titre abrégé: Eur Heart J Case Rep
Pays: England
ID NLM: 101730741
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
28
09
2020
revised:
26
10
2020
accepted:
11
03
2021
entrez:
14
6
2021
pubmed:
15
6
2021
medline:
15
6
2021
Statut:
epublish
Résumé
Pericardial cysts are rare congenital mediastinal cysts. They are typically asymptomatic and are often discovered incidentally, although some patients may present with chest pain and dyspnoea. Asymptomatic patients are managed conservatively with multiple modalities, with surgical resection often recommended for symptomatic patients only. The frequency of follow-up imaging has yet to be established. We report a case of a 59-year-old female with a gradually increasing pericardial cyst, first noted 10 years prior as an abnormal cardiac silhouette on routine chest radiography. Further evaluation confirmed the presence of a pericardial cyst compressing the left ventricle with new-onset atrial fibrillation. The patient underwent successful thoracoscopic excision of the pericardial cyst under general anaesthesia. The patient's post-operative course was uneventful, and she was ultimately discharged in stable condition. Pericardial cysts are typically benign, but complications may arise in the case of compression of adjacent cardiac structures, inflammation, haemorrhage, or rupture of the cyst. Magnetic resonance imaging is considered the better modality for both diagnosis and follow-up of pericardial cysts. This case illustrates the need for long-term clinical follow-up in order to optimize the time for treatment.
Sections du résumé
BACKGROUND
BACKGROUND
Pericardial cysts are rare congenital mediastinal cysts. They are typically asymptomatic and are often discovered incidentally, although some patients may present with chest pain and dyspnoea. Asymptomatic patients are managed conservatively with multiple modalities, with surgical resection often recommended for symptomatic patients only. The frequency of follow-up imaging has yet to be established.
CASE SUMMARY
METHODS
We report a case of a 59-year-old female with a gradually increasing pericardial cyst, first noted 10 years prior as an abnormal cardiac silhouette on routine chest radiography. Further evaluation confirmed the presence of a pericardial cyst compressing the left ventricle with new-onset atrial fibrillation. The patient underwent successful thoracoscopic excision of the pericardial cyst under general anaesthesia. The patient's post-operative course was uneventful, and she was ultimately discharged in stable condition.
DISCUSSION
CONCLUSIONS
Pericardial cysts are typically benign, but complications may arise in the case of compression of adjacent cardiac structures, inflammation, haemorrhage, or rupture of the cyst. Magnetic resonance imaging is considered the better modality for both diagnosis and follow-up of pericardial cysts. This case illustrates the need for long-term clinical follow-up in order to optimize the time for treatment.
Identifiants
pubmed: 34124550
doi: 10.1093/ehjcr/ytab116
pii: ytab116
pmc: PMC8188873
doi:
Types de publication
Case Reports
Langues
eng
Pagination
ytab116Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.
Références
Prog Cardiovasc Dis. 2017 Jan - Feb;59(4):389-397
pubmed: 28062266
Radiographics. 2002 Oct;22 Spec No:S79-93
pubmed: 12376602
Tenn Med. 1997 Mar;90(3):97-8
pubmed: 9059082
Am Heart J. 1995 Mar;129(3):616-8
pubmed: 7872195
Ann Thorac Surg. 2003 Jun;75(6):1953-5
pubmed: 12822644
G Ital Cardiol (Rome). 2010 Jun;11(6):493-7
pubmed: 20922876
Eur Heart J. 2015 Nov 7;36(42):2921-2964
pubmed: 26320112
J Comput Assist Tomogr. 1989 Jan-Feb;13(1):132-3
pubmed: 2910931
Interact Cardiovasc Thorac Surg. 2011 May;12(5):837-9
pubmed: 21303864